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Vol. 16. Issue 4.
Pages 627-639 (July - August 2010)
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Vol. 16. Issue 4.
Pages 627-639 (July - August 2010)
Artigo de Revisão/Review Article
Open Access
Entendendo a classificação, a fisiopatologia e o diagnóstico radiológico das bronquiectasias
Understanding the classification, physiopathology and the diagnostic radiology of bronchiectasis
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6888
Bruno Hochhegger1,*, Klaus Irion2, Rodrigo Bello3, Edson Marchiori4, José Moreira5, Nelson da Silva Porto6, Daniela Quinto dos Reis7
1 Médico residente do Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre. Aluno do Programa de Pós-graduaçao em Ciências Pneumológicas da UFRGS
2 Consultant radiologist of the Cardiothoracic Centre and Royal Broadgreen university hospital NHS Trust
3 Médico radiologista do Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre
4 Professor de Radiologia da Universidade Federal Fluminense.
5 Professor titular da Pneumologia da Universidade Federal do Rio Grande do Sul.
6 Médico radiologista do Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre
7 Médica residente do Grupo Hospitalar Nossa Senhora da Conceição
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Article information
Resumo

O termo bronquiectasia é definido como uma dilatação brônquica anormal persistente geralmente associada a inflamação na via aérea e no parênquima pulmonar. A doença continua a ser uma causa comum de morbidade e mortalidade, especialmente quando associada a doenças hereditárias, como a fibrose cística, a discinesia ciliar e a alguns estados de imunodeficiência. A tomografia computadorizada é, actualmente, a modalidade de escolha para o dianóstico e pode também contribuir para o manejo clínico, sugerindo possíveis diagnósticos. Destacamos nesta revisão a classificação, a fisiopatologia e as manifestações radiológicas desta doença.

Rev Port Pneumol 2010; XVI (4): 627-639

Palavras-chave:
Tomografia computadorizada espiral
bronquiectasia
radiologia
fisiologia
patologia
Abstract

Bronchiectasis is defined as an abnormal persistent bronchial dilatation usualy associated with inflammation in the bronchial tree and lung parenchyma. The disease remains a common cause of significant morbidity and mortality, especially when associated with hereditary disorders such as cystic fibrosis, ciliary dyskinesia, and immunodeficiency states. Computed tomography is now the diagnostic modality of choice and may also contribute to clinical management, suggesting some etiologic causes. We highlight developments in classification, physiopathology and radiology of this debilitating disease.

Rev Port Pneumol 2010; XVI (4): 627-639

Key-words:
Tomography
spiral computed
bronchiectasis
radiology
physiology pathology
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Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
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