Bronchiolitis differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
Bronchiolitis must be differentiated from other respiratory and cardiac diseases that can cause the same clinical manifestations.<ref name="pmid27180590">{{cite journal| author=Liu WY, Yu Q, Yue HM, Zhang JB, Li L, Wang XY et al.| title=[The distribution characteristics of etiology of chronic cough in Lanzhou]. | journal=Zhonghua Jie He He Hu Xi Za Zhi | year= 2016 | volume= 39 | issue= 5 | pages= 362-7 | pmid=27180590 | doi=10.3760/cma.j.issn.1001-0939.2016.05.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27180590 }} </ref><ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref><ref name="pmid26169577">{{cite journal| author=Mosley JD, Shaffer CM, Van Driest SL, Weeke PE, Wells QS, Karnes JH et al.| title=A genome-wide association study identifies variants in KCNIP4 associated with ACE inhibitor-induced cough. | journal=Pharmacogenomics J | year= 2016 | volume= 16 | issue= 3 | pages= 231-7 | pmid=26169577 | doi=10.1038/tpj.2015.51 | pmc=4713364 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26169577 }} </ref><ref name="pmid28454456">{{cite journal| author=Jiang S, Li J, Zeng Q, Liang J| title=Pulmonary artery intimal sarcoma misdiagnosed as pulmonary embolism: A case report. | journal=Oncol Lett | year= 2017 | volume= 13 | issue= 4 | pages= 2713-2716 | pmid=28454456 | doi=10.3892/ol.2017.5775 | pmc=5403205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28454456 }} </ref><ref name="pmid28452705">{{cite journal| author=Lin L, Chen Z, Cao Y, Sun G| title=Normal saline solution nasal-pharyngeal irrigation improves chronic cough associated with allergic rhinitis. | journal=Am J Rhinol Allergy | year= 2017 | volume= 31 | issue= 2 | pages= 96-104 | pmid=28452705 | doi=10.2500/ajra.2017.31.4418 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28452705 }} </ref> | |||
===Adults=== | |||
*[[Chronic obstructive pulmonary disease]] (COPD) | |||
*Hyperventilation syndrome and [[panic attacks]] | |||
*[[Congestive heart failure]] | |||
*[[Pulmonary embolism]] | |||
*Laryngeal dysfunction | |||
*[[Pulmonary aspiration]] | |||
*Mechanical obstruction of the airways ([[Lung cancer|benign and malignant tumors]]) | |||
*[[Pulmonary]] infiltration with [[eosinophilia]] | |||
*[[Diffuse parenchymal lung disease|Diffuse parenchymal lung diseases]] | |||
*[[Cough]], secondary to drugs ([[ACE inhibitor|ACE inhibitors]])<ref name="pmid27112942">{{cite journal| author=Wrona W, Budka K, Filipiak KJ, Niewada M, Wojtyniak B, Zdrojewski T| title=Health outcomes and economic consequences of using angiotensin-converting enzyme inhibitors in comparison with angiotensin receptor blockers in the treatment of arterial hypertension in the contemporary Polish setting. | journal=Kardiol Pol | year= 2016 | volume= 74 | issue= 9 | pages= 1016-24 | pmid=27112942 | doi=10.5603/KP.a2016.0055 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27112942 }} </ref> | |||
*[[Vocal cord paralysis|Vocal cord dysfunction]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | |||
*[[Pharyngitis]] | |||
===Infants & Children=== | |||
=====Upper airway diseases===== | |||
*[[Allergic rhinitis]] and [[sinusitis]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | |||
=====Obstructions involving large airways===== | |||
*[[Foreign body in respiratory tract|Foreign body in trachea or bronchus]] | |||
*[[Vocal cord paralysis|Vocal cord dysfunction]] | |||
*[[Vascular ring|Vascular rings]] or laryngeal webs | |||
*[[Laryngotracheomalacia]], tracheal stenosis, or bronchostenosis | |||
*[[Lymphadenopathy|Enlarged lymph nodes]] or [[Lung cancer|tumor]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | |||
=====Obstructions involving small airways===== | |||
*[[Bronchiolitis|Viral bronchiolitis]] or [[Bronchiolitis obliterans|obliterative bronchiolitis]] | |||
*[[Cystic fibrosis]] | |||
*[[Bronchopulmonary dysplasia]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | |||
=====Other causes===== | |||
*[[Congenital heart disease|Congenital heart diseases]] | |||
*Recurrent [[cough]] not due to asthma | |||
*[[Aspiration]] from swallowing mechanism | |||
*[[Gastroesophageal reflux]]<ref name=cdc>Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016</ref> | |||
==References== | ==References== |
Revision as of 20:39, 30 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differential Diagnosis
Bronchiolitis must be differentiated from other respiratory and cardiac diseases that can cause the same clinical manifestations.[1][2][3][4][5]
Adults
- Chronic obstructive pulmonary disease (COPD)
- Hyperventilation syndrome and panic attacks
- Congestive heart failure
- Pulmonary embolism
- Laryngeal dysfunction
- Pulmonary aspiration
- Mechanical obstruction of the airways (benign and malignant tumors)
- Pulmonary infiltration with eosinophilia
- Diffuse parenchymal lung diseases
- Cough, secondary to drugs (ACE inhibitors)[6]
- Vocal cord dysfunction[2]
- Pharyngitis
Infants & Children
Upper airway diseases
Obstructions involving large airways
- Foreign body in trachea or bronchus
- Vocal cord dysfunction
- Vascular rings or laryngeal webs
- Laryngotracheomalacia, tracheal stenosis, or bronchostenosis
- Enlarged lymph nodes or tumor[2]
Obstructions involving small airways
Other causes
- Congenital heart diseases
- Recurrent cough not due to asthma
- Aspiration from swallowing mechanism
- Gastroesophageal reflux[2]
References
- ↑ Liu WY, Yu Q, Yue HM, Zhang JB, Li L, Wang XY; et al. (2016). "[The distribution characteristics of etiology of chronic cough in Lanzhou]". Zhonghua Jie He He Hu Xi Za Zhi. 39 (5): 362–7. doi:10.3760/cma.j.issn.1001-0939.2016.05.006. PMID 27180590.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Environmental Triggers of Asthma. Differential Diagnosis of Asthma. Environmental Health and Medicine Education. Agency for Toxic Substances and Disease Registry. Available at: http://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5. Accessed on February 25, 2016
- ↑ Mosley JD, Shaffer CM, Van Driest SL, Weeke PE, Wells QS, Karnes JH; et al. (2016). "A genome-wide association study identifies variants in KCNIP4 associated with ACE inhibitor-induced cough". Pharmacogenomics J. 16 (3): 231–7. doi:10.1038/tpj.2015.51. PMC 4713364. PMID 26169577.
- ↑ Jiang S, Li J, Zeng Q, Liang J (2017). "Pulmonary artery intimal sarcoma misdiagnosed as pulmonary embolism: A case report". Oncol Lett. 13 (4): 2713–2716. doi:10.3892/ol.2017.5775. PMC 5403205. PMID 28454456.
- ↑ Lin L, Chen Z, Cao Y, Sun G (2017). "Normal saline solution nasal-pharyngeal irrigation improves chronic cough associated with allergic rhinitis". Am J Rhinol Allergy. 31 (2): 96–104. doi:10.2500/ajra.2017.31.4418. PMID 28452705.
- ↑ Wrona W, Budka K, Filipiak KJ, Niewada M, Wojtyniak B, Zdrojewski T (2016). "Health outcomes and economic consequences of using angiotensin-converting enzyme inhibitors in comparison with angiotensin receptor blockers in the treatment of arterial hypertension in the contemporary Polish setting". Kardiol Pol. 74 (9): 1016–24. doi:10.5603/KP.a2016.0055. PMID 27112942.