The day before yesterday, an elderly female patient was admitted to the ward. She had been suffering from lung disease for many years. There was a very obvious feature on her lung CT. There are many nodules at the end of the bronchial tubes. These nodules are located on both sides of the bronchi and look like buds on a branch.
This patient is also characterized by sinusitis. The main symptoms are coughing and expectoration accompanied by asthma. The lung function has been severely decreased. Before that, he was treated for chronic obstructive pulmonary disease in a local hospital for a long time. , the effect has not been good, combined with these conditions of her, consider that she may have a special rare disease called diffuse panbronchiolitis.
The characteristics of this disease are consistent with the characteristics of this patient, cough and sputum accompanied by asthma, pulmonary function suggests obstructive ventilatory dysfunction, and chest CT shows tree in bud, sinus CT shows sinus inflammation. The disease is also particularly misdiagnosed as other types of lung diseases, such as chronic bronchitis, emphysema, bronchiectasis, and more.
A good point is that this disease is sometimes treated well with erythromycin antibiotics, such as azithromycin. Many patients can be significantly relieved, even if detected early. cure.
