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November 1941


Author Affiliations

From the Thoracic Section of the Medical Clinic, Hospital of the University of Pennsylvania.

Arch Otolaryngol. 1941;34(5):966-973. doi:10.1001/archotol.1941.00660041040008

It is only through the collaboration of the skilled roentgenologist, the bronchoscopist, the rhinologist and the thoracic surgeon that the internist acquires sufficient knowledge about bronchiectasis to justify his participation in a symposium devoted to the various aspects of this disease.

Bronchoscopy and bronchography have changed completely the conception of bronchiectasis which antedated the development of these methods. By their use it is possible to diagnose the congenital cystic, the atelectatic and the dry hemorrhagic types of the disease, in which characteristic symptoms may be absent, and the manifestations of the more usual acquired cylindric form may be visualized long before the condition progresses to a late and pathologically permanent stage. These diagnostic methods have made it apparent that in frequency bronchiectasis stands second only to tuberculosis among chronic diseases of the lungs.

ETIOLOGY  Congenital Bronchiectasis.—The greatest differences of opinion are expressed in regard to the congenital nature of bronchiectasis.

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