[A clinical trial of 14 and 15 membered macrolides in treating six cases of diffuse panbronchiolitis]
1Department of Pulmonary Medicine, Chinese PLA General Hospital, Beijing 100853.
Objective:
To observe the therapeutic effect of macrolides in treating diffuse panbronchiolitis (DPB).
Methods:
14- and 15-ring macrolides were used in the treatment of six confirmed cases of DPB for 3 approximately 24 months. The improvement in symptoms, X-ray findings, lung function and results of blood gas analysis was recorded.
Results:
Symptoms such as cough, sputum expectoration and exertional dyspnea alleviated significantly during the first 2 weeks. PaO(2) level, FEV(1)%, and vital capacity (VC) increased remarkably. Diffuse small nodular lesions on chest X-ray or CT decreased in size within a few months.
Conclusion:
Macrolides have significant therapeutic effect on DPB and the patients have good tolerance to them. However, the mechanism of its action, the selection of the best macrolide, the most suitable dosage and the appropriate period of treatment still need further investigation.
Insights
Macrolides effectively treat diffuse panbronchiolitis (DPB), improving symptoms and lung function. Patients tolerated the treatment well, though further research is needed on optimal macrolide selection and dosage.
Area of Science:
- Pulmonology
- Pharmacology
Context:
- Diffuse panbronchiolitis (DPB) is a chronic inflammatory lung disease.
- Current treatment options for DPB have limitations.
Purpose:
- To evaluate the therapeutic efficacy of macrolides in treating diffuse panbronchiolitis (DPB).
Summary:
- A study involving six DPB patients treated with 14- and 15-ring macrolides for approximately 24 months showed significant symptom improvement within two weeks.
- Key improvements included reduced cough, sputum, and dyspnea, alongside increased PaO(2) levels, FEV(1)%, and vital capacity (VC).
- Radiological findings, such as small nodular lesions on chest X-ray or CT, also showed a decrease in size.
Impact:
- Macrolides demonstrate significant therapeutic potential for DPB patients.
- The observed good tolerance suggests macrolides as a viable treatment option.
- Further investigation is warranted to determine optimal macrolide selection, dosage, and treatment duration for DPB.
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