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Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation
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Exudative bronchiolitis after lung transplantation.

Terence E McManus1, David G Milne, Kenneth F Whyte

  • 1Department of Respiratory Medicine, Auckland City Hospital, Auckland, New Zealand. terrymcmanus@doctors.org.uk

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|March 18, 2008
PubMed
Summary
This summary is machine-generated.

Exudative bronchiolitis (EB) is a newly described complication after lung transplantation. This condition is linked to ethnicity, infection, and other airway diseases, potentially indicating a higher risk of bronchiolitis obliterans syndrome.

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Area of Science:

  • Pulmonology
  • Transplant Surgery
  • Radiology

Background:

  • Small airways disease is common post-lung transplantation.
  • Exudative bronchiolitis (EB) has not been previously described in lung transplant recipients.
  • This study presents a case series of EB in this patient population.

Purpose of the Study:

  • To describe the occurrence and characteristics of exudative bronchiolitis (EB) after lung transplantation.
  • To identify risk factors and associated conditions with EB.
  • To evaluate the diagnostic utility of high-resolution computed tomography (HRCT) for EB.

Main Methods:

  • Retrospective review of clinical and radiologic data from 99 lung transplant patients.
  • High-resolution computed tomography (HRCT) used to define the EB cohort.
  • Comparison of EB cohort with non-EB patients regarding demographics, transplant details, and outcomes.

Main Results:

  • Thirteen of 99 patients developed EB.
  • EB was more prevalent in Maori and Pacific Island patients.
  • EB associated with early post-transplant infection, Aspergillus, diabetes, and increased risk of bronchiolitis obliterans syndrome (BOS).

Conclusions:

  • Exudative bronchiolitis (EB) occurs in a significant proportion of lung transplant recipients and requires HRCT for detection.
  • EB is associated with patient ethnicity, infection history, and development of other airway diseases.
  • EB may serve as an early indicator for the development of BOS.