Bronchiectasis
Alerts and Notices
Synopsis
Patients typically present with productive cough, chest congestion, purulent sputum, and dyspnea. It can be difficult to distinguish from pneumonia in many circumstances. Management involves treating the underlying etiology and improving airway clearance to break the cycle of recurrent infections and progressive airway destruction.
When bronchiectasis is caused by an underlying chronic medical condition (eg, cystic fibrosis, alpha-1 antitrypsin deficiency), daily maintenance is critical to minimizing morbidity from bronchiectasis.
Codes
ICD10CM:J47.9 – Bronchiectasis, uncomplicated
SNOMEDCT:
12295008 – Bronchiectasis
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Cystic fibrosis
- Chronic bronchitis
- Chronic obstructive pulmonary disease (COPD)
- Bronchiolitis
- Mycobacterial lung disease (eg, tuberculosis)
- Endobronchial obstruction (foreign body, tumor)
- Tracheobronchomalacia and tracheobronchomegaly (see tracheomalacia)
- Primary ciliary dyskinesia
- Hypogammaglobulinemia (eg, congenital)
- Young syndrome
- Alpha-1 antitrypsin deficiency
- Allergic bronchopulmonary aspergillosis
- Asthma
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:04/23/2019
Last Updated:05/05/2019
Last Updated:05/05/2019