Etiology and clinical features of children with bronchiectasis in China: A 10‐year multicenter retrospective study

Abstract

IntroductionThe current study aims to investigate the etiology spectrum and the clinical characteristics of bronchiectasis in Chinese children.MethodsThe study is designed as a multicenter retrospective study. 193 cases were enrolled in 13 centers in China between 2008 and 2017. The inclusive cases must meet the clinical as well as the HRCT criteria. Only if both two radiologists confirmed the diagnosis, the case could be enrolled. The cases that could not provide clinical and imageology data were excluded. The data were entered into the specialized system and then analyzed.ResultsOne hundred sixty‐nine cases (87%) were found to have the underlying etiology. Post‐infective (46%), primary immunodeficiency (14%), and PCD (13%) were the common causes. All cases came from 28 provinces in Mainland China. The median age of symptom onset was 5.8 (2.0, 8.9) years. The median age of diagnosis was 8.4 (4.5, 11.6) years. The main symptoms were cough, sputum expectoration, and fever during the exacerbation. Nineteen percent of patients suffered from limited exercise tolerance. Clubbing was found in 17% of cases. Nearly 30% of patients presented growth limitations. On the HRCT findings, 126 cases had diffused bronchiectasis, and bilateral involvement was found in 94 cases. The lower lobes and right middle lobes were most commonly involved. Approximately 30% of cultures of sputum and bronchoalveolar lavage were positive.ConclusionA majority of cases could be found the underlying etiology. Post‐infective, primary immunodeficiency, and PCD were the most common causes. Some clinical figures might indicate a specific etiology.

Video-assisted thoracoscopic surgery for non-cystic fibrosis bronchiectasis in children

“…The main clinical symptoms include cough, sputum production, wheezing, and chest tightness. 2 , 3 Due to the atypical nature of early symptoms, they are easily overlooked, and the symptoms tend to recur, resulting in a prolonged course of the disease and significant impacts on the growth, development, and quality of life of affected children. 4 , 5 …”