peribronchial cuffing

関

perivascular fuffing、肺水腫、左心不全

• 肺静脈圧の上昇が進行すると血管内から血管外への水分の漏出が起こる。この漏出は間質性水圧の低い組織に生じやすいが、気管支や血管周囲の間質静水圧は周囲に比べ陰圧であるため、気管支・血管周囲の水腫が早い段階で見られ、胸部X選書健常では気管支、血管の陰影の辺縁の不明瞭かとして観察される。。同様の機序により、肺門部の血管にも拡大と辺縁の不明瞭化が出現する (SPU.352)。

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/12/04 16:14:33」(JST)

wiki en

[Wiki en表示]

Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening, is a radiologic sign which occurs when excess fluid or mucus buildup in the small airway passages of the lung causes localized patches of atelectasis (lung collapse). This causes the area around the bronchus to appear more prominent on an X-ray. It has also been described as donut sign, considering the edge is thicker, and the center contains air.

Peribronchial cuffing is seen in a number of conditions including:

• acute bronchitis
• asthma following exercise or during an acute episode
• bronchiolitis
• bronchopulmonary dysplasia
• congestive heart failure
• cystic fibrosis
• diffuse parenchymal lung disease
• Extreme exertion through physical exercise
• Hantavirus pulmonary syndrome
• human metapneumovirus
• Kawasaki disease
• Lung cancer
• Pneumonia
• pulmonary edema
• Smoke inhalation

Treatment

As peribronchial cuffing is a sign rather than a symptom or condition, there is no specific treatment except to treat the underlying cause.

References

UpToDate Contents

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• 1. 肺発達異常の放射線学的所見 radiographic appearance of developmental anomalies of the lung
• 2. 救急外来における呼吸困難の成人の評価 evaluation of the adult with dyspnea in the emergency department
• 3. びまん性汎細気管支炎 diffuse panbronchiolitis
• 4. 幼児および小児における細気管支炎：臨床的特徴および診断 bronchiolitis in infants and children clinical features and diagnosis
• 5. 小児における慢性咳嗽に対するアプローチ approach to chronic cough in children

English Journal

• Swine-origin influenza A viral (H1N1) infection in children: chest computed tomography findings.

• Im SA, Kim HL, Yoon JS, Kang JH, Lee JS, Chun HJ.SourceDepartment of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Republic of Korea.
• Japanese journal of radiology.Jpn J Radiol.2011 Dec;29(10):707-11. Epub 2011 Oct 19.
• PURPOSE: The aim of this study was to review the chest computed tomography (CT) findings in children with swine-origin influenza (H1N1) virus (S-OIV) infection.MATERIALS AND METHODS: The radiologists retrospectively reviewed chest CT findings in 12 children with S-OIV infection and recorded the foll
• PMID 22009422

• Chest radiograph findings in children with laboratory confirmed pandemic H1N1 virus infection.

• Soudack M, Ben-Shlush A, Raviv-Zilka L, Jacobson J, Mendelson E.SourcePediatric Imaging, Edmond and Lily Safra Children's Hospital Virology, Chaim Sheba Medical Center, Tel Hashomer, Israel. michalle.soudack@sheba.health.gov.il
• Journal of medical imaging and radiation oncology.J Med Imaging Radiat Oncol.2011 Jun;55(3):275-8. doi: 10.1111/j.1754-9485.2011.02264.x.
• INTRODUCTION: Since its onset in the spring of 2009, the H1N1 pandemic has kept health-care professionals busy worldwide. Even though it often causes respiratory tract illness, reports describing the radiological manifestations in infected children are few. The purpose of this study was twofold: to
• PMID 21696560

Japanese Journal

• マウスMycoplasma pulmonis肺炎における抗生剤,免疫抑制剤および免疫調節剤の治療効果に関する研究

• 田中 裕士,田村 弘
• 1989-12-01
• … 1) Treatment with MINO reduced inflammatory cell infiltration in the alveoli (alveolar lesion), but did not reduce peribronchial nor periarterial cuffing with mononuclear cells, i. …
• NAID 120001796746

Related Links

• Peribronchial cuffing - Wikipedia, the free encyclopedia

Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening is a radiographic sign which occurs when excess fluid or mucus buildup in the small airway passages of the lung causes localized patches of ...

• LearningRadiology - Congestive Heart Failure, CHF

Peribronchial cuffing results when fluid-thickened bronchial walls become visible producing. ”doughnut-like” densities in the ... Differential Diagnosis. Kerley B lines and Peribronchial cuffing. ● Cardiac. 30%. ● Renal. 30%. ● ARDS. None ...

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