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Cited by 684

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An Investigation into Causative Factors in Patients with Bronchiectasis

PASTEUR, MARK C., HELLIWELL, SHARON M., HOUGHTON, SALLY J., WEBB, SUSANNAH C., FOWERAKER, JULIET E., COULDEN, RICHARD A., FLOWER, CHRISTOPHER D., BILTON, DIANA, KEOGAN, MARY T.·2000·American Journal of Respiratory and Critical Care Medicine

Abstract

Bronchiectasis is a pathologic description of lung damage characterized by inflamed and dilated thick-walled bronchi. These findings may result from a number of possible causes and these may influence treatment and prognosis. The aim of this study was to determine causative factors in 150 adults with bronchiectasis (56 male, 94 female) identified using high-resolution computerized tomography. Relevant factors were identified in the clinical history; cystic fibrosis gene mutation analysis was performed; humoral immune defects were determined by measuring immunoglobulins, IgG subclasses and functional response to Pneumovax II vaccine; assessment was made of neutrophil function (respiratory burst, adhesion molecule expression, and chemotaxis); ciliary function was observed and those likely to have allergic bronchopulmonary aspergillosis (ABPA) were identified. Causes identified were: immune defects (12 cases), cystic fibrosis (4), Young's syndrome (5), ciliary dysfunction (3), aspiration (6), panbronchiolitis (1), congenital defect (1), ABPA (11), rheumatoid arthritis (4), and early childhood pneumonia, pertussis, or measles (44). Intensive investigation of this population of patients with bronchiectasis led to identification of one or more causative factor in 47% of cases. In 22 patients (15%), the cause identified had implications for prognosis and treatment.

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Metadata

Authors
PASTEUR, M. C., HELLIWELL, S. M., HOUGHTON, S. J., WEBB, S. C., FOWERAKER, J. E., COULDEN, R. A., FLOWER, C. D., BILTON, D., & KEOGAN, M. T.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2000-10-01
Volume
162
Issue
4
Pages
1277-1284
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W1976858537
Cited by
684
References
1
FWCI
9.44
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: An Investigation into Causative Factors in Patients with Bronchiectasis. https://app.cochat.ai/papers/10.1164/ajrccm.162.4.9906120
The paper
PASTEUR, M. C., HELLIWELL, S. M., HOUGHTON, S. J., WEBB, S. C., FOWERAKER, J. E., COULDEN, R. A., FLOWER, C. D., BILTON, D., & KEOGAN, M. T. (2000). An Investigation into Causative Factors in Patients with Bronchiectasis. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.162.4.9906120

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.