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constrictive bronchiolitis

Tuesday 3 May 2005

Constrictive bronchiolitis designates inflammation and fibrosis occurring predominantly in the walls and contiguous tissues of membranous and respiratory bronchioles, with resultant narrowing of their lumens.

Synopsis

- concentric bronchiolar fibrosis

Types

- active constrictive bronchiolitis
- inactive constrictive bronchiolitis

Etiology

- healed pulmonary infections

  • respiratory syncitial virus (VRS)
  • cytomegalovirus
  • adenovirus
  • influenza virus
  • parainfluenza virus
  • varicella
  • mycoplasma

- organ allograft

- fumes

  • nitrogen oxide

- toxins (inhaled or ingested)

  • Sauropus androgynous

- drugs

  • penicillamine
  • lomustine

- dysimmunity (systemic connective tissue disease)

  • rheumatoid arthritis
  • pemphigus vulgaris
  • inflammatory bowel diseases (IBDs)

- drugs

- unknown cause (idiopathic constrictive bronchiolitis)

See also

- bronchiolitis

- pulmonary lesions

  • bronchiolar lesions
  • peribronchiolar lesions
  • bronchiolocentric lesions

References

- Schlesinger C, Veeraraghavan S, Koss MN. Constructive (obliterative) bronchiolitis. Curr Opin Pulm Med. 1998 Sep;4(5):288-93. PMID: 10813204

- Schlesinger C, Meyer CA, Veeraraghavan S, Koss MN. Constrictive (obliterative) bronchiolitis: diagnosis, etiology, and a critical review of the literature. Ann Diagn Pathol. 1998 Oct;2(5):321-34. PMID: 9845757