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        "resumen" => "<span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">As bronquiectasias &#40;BE&#41; e caracterizam-se por uma dilata&#231;&#227;o e destrui&#231;&#227;o irrevers&#237;vel das paredes br&#244;nquicas&#46; S&#227;o a express&#227;o morfol&#243;gica de uma grande variedade de patologias&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A verdadeira preval&#234;ncia das BE &#233; desconhecida&#44; contudo sabe-se que s&#227;o frequentes nos pa&#237;ses de Terceiro Mundo devido a infec&#231;&#245;es pulmonares&#46; A sua preval&#234;ncia nos pa&#237;ses desenvolvidos &#233; tamb&#233;m significativa em consequ&#234;ncia da maior capacidade de diagn&#243;stico&#44; da sua associa&#231;&#227;o com doen&#231;as de preval&#234;ncia elevada e da maior cronicidade de algumas das patologias subjacentes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante as &#250;ltimas d&#233;cadas tem havido pouco interesse na investiga&#231;&#227;o das BE&#44; exceptuando as consequentes &#224; fibrose qu&#237;stica&#46; Uma das raz&#245;es relaciona-se com o pressuposto de que o tratamento &#233; comum a todos os doentes com BE&#44; independentemente da etiologia subjacente&#46; V&#225;rios trabalhos nesta &#250;ltima d&#233;cada demonstraram que a obten&#231;&#227;o de um diagn&#243;stico etiol&#243;gico modifica a abordagem e o tratamento numa percentagem relevante de doentes e consequentemente o seu progn&#243;stico&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Recomenda-se actualmente a investiga&#231;&#227;o sistem&#225;tica da etiologia&#44; principalmente das doen&#231;as que poder&#227;o responder a um tratamento espec&#237;fico&#46;</p></span>"
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Bronquiectasias: Será necessária a investigação etiológica?
Bronchiectasis: do we need aetiological investigation?
A. Amorima,
Corresponding author
adelinamorim@gmail.com

Autor para correspondência.
, J. Gracia Róldanb
a Serviço de Pneumologia, Hospital São João - EPE, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
b Serviço de Pneumologia, Hospital Universitari Vall d’ Hebron, Barcelona; Universidad Autónoma de Barcelona, Barcelona, Espanha
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        "resumen" => "<span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">As bronquiectasias &#40;BE&#41; e caracterizam-se por uma dilata&#231;&#227;o e destrui&#231;&#227;o irrevers&#237;vel das paredes br&#244;nquicas&#46; S&#227;o a express&#227;o morfol&#243;gica de uma grande variedade de patologias&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A verdadeira preval&#234;ncia das BE &#233; desconhecida&#44; contudo sabe-se que s&#227;o frequentes nos pa&#237;ses de Terceiro Mundo devido a infec&#231;&#245;es pulmonares&#46; A sua preval&#234;ncia nos pa&#237;ses desenvolvidos &#233; tamb&#233;m significativa em consequ&#234;ncia da maior capacidade de diagn&#243;stico&#44; da sua associa&#231;&#227;o com doen&#231;as de preval&#234;ncia elevada e da maior cronicidade de algumas das patologias subjacentes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante as &#250;ltimas d&#233;cadas tem havido pouco interesse na investiga&#231;&#227;o das BE&#44; exceptuando as consequentes &#224; fibrose qu&#237;stica&#46; Uma das raz&#245;es relaciona-se com o pressuposto de que o tratamento &#233; comum a todos os doentes com BE&#44; independentemente da etiologia subjacente&#46; V&#225;rios trabalhos nesta &#250;ltima d&#233;cada demonstraram que a obten&#231;&#227;o de um diagn&#243;stico etiol&#243;gico modifica a abordagem e o tratamento numa percentagem relevante de doentes e consequentemente o seu progn&#243;stico&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Recomenda-se actualmente a investiga&#231;&#227;o sistem&#225;tica da etiologia&#44; principalmente das doen&#231;as que poder&#227;o responder a um tratamento espec&#237;fico&#46;</p></span>"
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        "resumen" => "<span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Bronchiectasis &#40;BE&#41; is characterized by irreversible dilation and damage to the bronchial walls&#46; It is a morphological expression of a large variety of pathologies&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The true prevalence of BE is unknown&#46; It is known&#44; however&#44; that in Third World countries it is common due to lung infections&#46; Its current prevalence in developed countries is rather significant due to a greater capacity for diagnosis&#44; its association with highly prevalent diseases and to a greater chronicity of some of the underlying pathologies&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Over the last few decades there has been little interest in the investigation of BE&#44; unless it is associated with cystic fibrosis&#46; One of the reasons is the presupposition that treatment is the same for all patients diagnosed with BE&#44; regardless of the underlying aetiology&#46; Several works carried out over the last decade show that a diagnosis based on aetiology changes both the approach and the treatment of BE within a relevant percentage of patients&#44; with a consequent change in the prognosis&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Currently&#44; systematic investigation into the aetiology of BE is recommended&#44; particularly in those disorders that respond to specific treatment&#46;</p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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