0
Editorials |

What Is in a Name?Prebronchiectasis: What Is in a Name?: The Dilemma of “Prebronchiectasis”

Bruce K. Rubin, MD, FCCP
Author and Funding Information

From the Virginia Commonwealth University School of Medicine and the Children’s Hospital of Richmond.

Correspondence to: Bruce K. Rubin, MD, FCCP, Department of Pediatrics, Virginia Commonwealth University School of Medicine, 1001 E Marshall St, PO Box 980646, Richmond, VA 23284; e-mail: brubin@vcu.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(2):278-279. doi:10.1378/chest.11-0666
Text Size: A A A
Published online

Extract

Words are powerful. They can topple political regimes, polarize discourse, and frame our thoughts. It was not long ago that physicians often called asthma “reactive airways disease.”2 An unfortunate result of this was that many considered asthma to be a disease of airway smooth muscle, characterized by bronchodilator deficiency and diagnosed using bronchial provocation testing, which has a strong negative predictive value but is not a robust diagnostic test to confirm the clinical diagnosis of asthma.3 We face a similar confusion of words today. Flexible bronchoscopy has safely facilitated spelunking in an ever-increasing number of airways, and high-resolution CT scanning using low radiation doses and incremental scanning has increased resolution while decreasing radiation exposure to levels comparable to a standard chest radiograph,4 making high-resolution CT scanning almost a routine diagnostic test in some patients with chronic lung disease. We are recognizing that more airways than we suspected contain bacteria, inflammatory cells, or both and that more patients with chronic lung problems and relatively normal chest radiographs have high-resolution CT scanning evidence of bronchiectasis.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
Impact of Cough Across Different Chronic Respiratory Diseases*: Comparison of Two Cough-Specific Health-Related Quality of Life Questionnaires
PubMed Articles
Update in Bronchiectasis 2014. Am J Respir Crit Care Med 2015;192(10):1155-61.
Guidelines
Feverish illness in children: assessment and initial management in children younger than 5 years.
National Collaborating Centre for Women's and Children's Health | 8/28/2009
Blepharitis.
American Academy of Ophthalmology | 6/5/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543