Bronchiectasis

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Clinic

  • It is permanent enlargement of parts of the airways
  • The development of bronchiectasis requires two factors:
  1. An initial injury to the lung such as from infection, auto-immune destruction of lung tissue
  2. Other destruction of lung tissue as seen in GERD or aspiration syndromes
  • This leads to impaired mucociliary clearance, obstruction, or a defect in host defense. This triggers a host immune response from neutrophils (elastases), reactive oxygen species, and inflammatory cytokines that results in progressive destruction of normal lung architecture.
  • In particular, the elastic fibers of bronchi are affected.
  • The result is permanent abnormal dilation and destruction of the major bronchi and bronchiole walls


Signs and symptoms

  • Productive cough (Green or yellow sputum)
  • Dyspnea
  • Wheezing
  • Chest pain
  • Hemoptysis.
  • Expiratory rhonchi
  • Nail clubbing is a rare symptom.

Causes

Lung infections

MTB

Autoimmune diseases

  • Rheumatoid arthritis
  • Sjögren syndrome
  • Ulcerative colitis and Crohn's disease
  • Allergic bronchopulmonary aspergillosis


Tissue Salt Remedies

SIL


Related entities

Related Disease

Asthma