Çocuk Sağlığı ve Hastalıkları Dergisi 2009 , Vol 52 , Num 1
The clinical and radiologic features of children with non-cystic fibrosis bronchiectasis
Ayfer İnal1, Gülbin Bingöl Karakoç2, Mustafa Yılmaz2, Derya Ufuk Altıntaş3, Seval Güneşer Kendirli3
1Çukurova Üniversitesi Tıp Fakültesi Pediatri Uzmanı
2Çukurova Üniversitesi Tıp Fakültesi Pediatri Doçenti
3Çukurova Üniversitesi Tıp Fakültesi Pediatri Profesörü
İnal A, Karakoç GB, Yılmaz M, Altıntaş DU, Kendirli SG. (Department of Pediatrics, Çukurova University Faculty of Medicine, Adana, Turkey). The clinical and radiologic features of children with non-cystic fibrosis bronchiectasis. Çocuk Sağlığı ve Hastalıkları Dergisi 2009; 52: 20-24.

Bronchiectasis is still an important problem in developing countries. The aims of the present study were to document the clinical, demographical and radiologic features of children with non-cystic bronchiectasis and to evaluate the relationship between bronchiectasis distribution severity scores obtained from high-resolution computed tomography (HRCT) scan and pulmonary function tests. Age of symptom onset, age of diagnosis, frequency of presenting symptoms, physical examination findings, pulmonary function tests, and affected lobes in HRCT were evaluated; in addition, using HRCT, each lobe was scored separately to obtain a bronchiectasis distribution severity score. The cause could not be determined in 17 patients (30.9%); immunodeficiency was detected in 11 (20%) and infections in 9 (16.4%) patients as a cause of bronchiectasis. The most common presenting symptoms were cough and sputum expectoration. The most common affected lobe was the left lower lobe, and 21 patients (38.2%) had three or more lobe involvement. The anatomic extent scores obtained from HRCT scans were significantly correlated with forced expiratory volume in 1 sec (FEV1) (r= -0.58, p<0.001) and MEF25-75 (r= -0.56, p<0.001). Early diagnosis and treatment of bronchiectasis will increase the quality of life of patients and decrease the complications of this irreversible process. Anahtar Kelimeler : bilgisayarlı tomografi, bronşektazi, çocuk, solunum fonksiyon testi
bronchiectasis, children, HRCT scan, pulmonary function test

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