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Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

Chronic Obstructive Pulmonary Disease-II: Pathophysiology

Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
The Bronchial Tree01:23

The Bronchial Tree

The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic Obstructive Pulmonary Disease I: Introduction

Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...

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Related Experiment Video

Updated: Jul 5, 2026

Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation
06:15

Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation

Published on: November 10, 2023

Bronchiolitis obliterans in children.

Siby P Moonnumakal1, Leland L Fan

  • 1Pediatric Pulmonary Section, Department of Pediatrics, Texas Children's Hospital, USA.

Current Opinion in Pediatrics
|May 14, 2008
PubMed
Summary
This summary is machine-generated.

Bronchiolitis obliterans in children, often caused by adenovirus, is a rare obstructive lung disease. Diagnosis relies on clinical signs, lung function, and CT scans, with supportive treatment and variable prognosis.

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Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation
10:01

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation

Published on: July 10, 2012

Related Experiment Videos

Last Updated: Jul 5, 2026

Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation
06:15

Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation

Published on: November 10, 2023

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation
10:01

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation

Published on: July 10, 2012

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Pediatric Critical Care

Background:

  • Bronchiolitis obliterans is a rare, irreversible obstructive lung disease.
  • It results from severe lower airway injury leading to small airway fibrosis.
  • In children, adenovirus infection is the most frequent cause.

Purpose of the Study:

  • To review current knowledge on the etiology, pathology, and clinical aspects of bronchiolitis obliterans.
  • To discuss diagnostic methods, treatment strategies, and outcomes in pediatric patients.
  • To focus on the nontransplant, pediatric population with this condition.

Main Methods:

  • Literature review of recent advances in bronchiolitis obliterans research.
  • Analysis of clinical presentations, diagnostic criteria, and treatment outcomes.
  • Synthesis of information on etiology, pathology, and pathogenesis.

Main Results:

  • Diagnosis is confident using clinical presentation (e.g., adenovirus history), pulmonary function tests, and CT findings (mosaic perfusion, bronchiectasis).
  • Lung biopsy is often unnecessary.
  • Postinfectious cases are typically chronic and nonprogressive, while Stevens-Johnson syndrome cases can be progressive and require transplantation.

Conclusions:

  • Bronchiolitis obliterans is a rare chronic obstructive lung disease in children following severe respiratory insult.
  • Adenovirus infection is the primary cause in the nontransplant pediatric population.
  • Treatment is supportive, and prognosis depends on the cause and initial injury severity.