Pathology of small airways disease

Timothy Craig Allen

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Context.-The term small airways disease encompasses a generally poorly understood group of lung diseases that may arise primarily within the small airways or secondarily from diseases primarily affecting the bronchi or lung parenchyma. Their histology may be confusing; however, because treatments and prognoses vary, correct pathologic diagnosis is important. Objective.-To present a nonexhaustive review of the pathology of primary and secondary small airways diseases, including small airways disease related to tobacco; to various other exposures, including mineral dusts; to diseases involving other areas of the lung with secondary bronchiolar involvement; and to recently described bronchiolitic disorders. Data Sources.-Current literature is reviewed. Conclusions.-Small airways diseases include a wide variety of diseases of which the pathologist must consider. Uncommon conditions such as diffuse idiopathic neuroendocrine cell hyperplasia and diffuse panbronchiolitis may show relatively specific diagnostic features histologically; however, most small airways diseases exhibit nonspecific histologic features. Conditions not considered primary pulmonary diseases, such as collagen vascular diseases, bone marrow transplantation, and inflammatory bowel disease, must also be considered in patients with small airways changes histologically. Clinical and radiologic correlation is important for obtaining the best possible diagnosis.

Original languageEnglish (US)
Pages (from-to)702-718
Number of pages17
JournalArchives of Pathology and Laboratory Medicine
Volume134
Issue number5
StatePublished - May 2010
Externally publishedYes

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Pathology
Lung Diseases
Collagen Diseases
Neuroendocrine Cells
Lung
Information Storage and Retrieval
Bronchi
Dust
Bone Marrow Transplantation
Vascular Diseases
Inflammatory Bowel Diseases
Tobacco
Hyperplasia
Minerals
Histology

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

Pathology of small airways disease. / Allen, Timothy Craig.

In: Archives of Pathology and Laboratory Medicine, Vol. 134, No. 5, 05.2010, p. 702-718.

Research output: Contribution to journalArticle

Allen, Timothy Craig. / Pathology of small airways disease. In: Archives of Pathology and Laboratory Medicine. 2010 ; Vol. 134, No. 5. pp. 702-718.
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