Pneumology - Case Reports Open access

A young lady with dyspnoea: Quest for the cause

Authors

Published
20 July 2021
Section
Pneumology - Case Reports

Abstract

Pulmonary hypertension (PH) is a common cause of dyspnoea. The management and prognosis of PH varies with the underlying aetiology. Hence the detection of the cause of PH is important. Obliterative bronchiolitis (OB) is a common but under-recognised cause of PH. OB is usually secondary to childhood infections known as post-infectious OB. It can also be secondary to other diseases, but cryptogenic OB is an extremely rare entity. Here we share a unique case of PH due to cryptogenic OB and its successful outcome with optimal management.

References

  1. Galiè N, Humbert M, Vachiery JL, et al. ESC Scientific Document Group, 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Eur Heart J 2016;37:67-119. DOI: https://doi.org/10.1093/eurheartj/ehv317
  2. Simonneau G, Montani D, Celermajer DS, et al. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. Eur Respir J 2019;53:1801913. DOI: https://doi.org/10.1183/13993003.01913-2018
  3. Burgel PR, Bergeron A, de Blic J, et al. Small airways diseases, excluding asthma and COPD: an overview. Eur Respir Rev 2013;22:131–47. DOI: https://doi.org/10.1183/09059180.00001313
  4. Hansell DM. Small airways disease: Detection and insights with computed tomography. Eur Respir J 2001;17:1294-313. DOI: https://doi.org/10.1183/09031936.01.00206101
  5. Raju S, Ghosh S, Mehta AC. Chest CT signs in pulmonary disease. A pictorial review. Chest 2017;151:1356-74. DOI: https://doi.org/10.1016/j.chest.2016.12.033
  6. Kligerman SJ, Henry T, Lin CT, et al. Mosaic attenuation: Etiology, methods of differentiation, and pitfalls. Radiographics 2015 35:1360-80. DOI: https://doi.org/10.1148/rg.2015140308
  7. Lewis G, Hoey ETD, Reynolds JH, et al. Multi-detector CT assessment in pulmonary hypertension: techniques, systematic approach to interpretation and key findings. Quant Imaging Med Surg 2015;5:423-32.
  8. Epler GR. Diagnosis and treatment of constrictive bronchiolitis. F1000 Med Rep 2010;2:32. DOI: https://doi.org/10.3410/M2-32
  9. Markopoulou KD, Cool CD, Elliot TL, et al. Obliterative bronchiolitis: varying presentations and clinicopathological correlation. Eur Respir J 2002;19:20-30. DOI: https://doi.org/10.1183/09031936.02.00282001
  10. Joshi JM, Gothi D. Post infectious obliterative bronchiolitis. Lung India 2006;23:75-7. DOI: https://doi.org/10.4103/0970-2113.44413
  11. Epler GR. Constrictive bronchiolitis obliterans: the fibrotic airway disorder. Expert Rev Resp Med 2007;1:139-47. DOI: https://doi.org/10.1586/17476348.1.1.139
  12. Turton CW, Williams G, Green M. Cryptogenic obliterative bronchiolitis in adults. Thorax 1981;36:805-10. DOI: https://doi.org/10.1136/thx.36.11.805
  13. Kraft M, Mortenson RL, Colby TV, et al. Cryptogenic constrictive bronchiolitis. A clinicopathologic study. Am Rev Respir Dis 1993;148:1093-101. DOI: https://doi.org/10.1164/ajrccm/148.4_Pt_1.1093
  14. Callahan SJ, Vranic A, Flors L, et al. Sporadic obliterative bronchiolitis: Case series and systematic review of the literature. Mayo Clin Proc Innov Qual Outcomes 2019 1;3:86-93. DOI: https://doi.org/10.1016/j.mayocpiqo.2018.10.003
  15. Jerkic SP, Brinkmann F, Calder A, et al. Postinfectious bronchiolitis obliterans in children: Diagnostic workup and therapeutic options: A workshop report. Can Respir J 2020;2020:5852827. DOI: https://doi.org/10.1155/2020/5852827

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