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KMID : 1141720200080020064
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폐쇄성폐질환
2020 Volume.8 No. 2 p.64 ~ p.68
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When Bronchiectasis Meets Airway Diseases: What Should Physician Consider?
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Yang Bum-Hee
Choi Ha-Young
Lee Hyun
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Abstract
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Non-cystic fibrosis bronchiectasis often coexists with other airway diseases, including asthma and chronic obstructive pulmonary disease (COPD). Compared to asthmatic patients without bronchiectasis, those with bronchiectasis are more likely to be older and have more non-allergic asthma. Asthmatic patients with bronchiectasis also suffer from more severe symptoms and frequent exacerbations and consume more healthcare utilization compared to those without bronchiectasis. Likewise, COPD patients with bronchiectasis often have more vulnerable clinical characteristics, such as older age, lower body mass index, and more reduced lung function and experience more frequent exacerbations compared to those without bronchiectasis. The current guidelines recommend that bronchiectasis should be suspected when patients with asthma or COPD have severe symptoms, disease severity, or frequent exacerbations. In addition, when P. aeruginosa is isolated from COPD patients, the presence of bronchiectasis is needed to be evaluated. For patients who have airway diseases and coexisting bronchiectasis, appropriate bronchiectasis treatment such as airway clearance technique should be added to the treatment of airway diseases to improve treatment outcomes.
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KEYWORD
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Bronchiectasis, Asthma, Chronic obstructive pulmonary disease
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