Bronchiectasis classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Saarah T. Alkhairy, M.D.

Overview

Bronchiectasis may be classified according to its severity into 3 sub types: tubular/fusiform, varicose, and saccular. Bronchiectasis may also be classified according to its location into 2 sub types: localized and generalized.

Classification

Based on Severity

Based on severity, bronchiectasis may be classified as follows:

Type Features
Tubular or fusiform (cylindrical) bronchiectasis (follicular bronchiectasis) Most common type. It is characterized by development of mildly inflamed bronchi that fail to taper distally[1][2]
Varicose bronchiectasis The bronchial walls appear beaded because areas of dilation are mixed with areas of constriction
Saccular (cystic) bronchiectasis These are characterized by severe, irreversible ballooning of the bronchi peripherally, with or without air-fluid levels

Based on Location

Based on localization, bronchiectasis may be classified as follows:

Location Features
Localized Confined to one lobe only
Generalized Involves more than one lobe

References

  1. Mysliwiec, V, Pina, JS (1999). "Bronchiectasis: the 'other' obstructive lung disease". POSTGRADUATE MEDICINE. 106 (1): 252–63.
  2. O'Donnell, Anne E. (2008). "Bronchiectasis". Chest. 134 (4): 815–823. doi:10.1378/chest.08-0776. ISSN 0012-3692.


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