Mucoid Impaction of the Bronchi

Mucoid impaction of the bronchi in relation to asthma and plastic bronchitis

“…In this series there are no individual histories apart from -Shaw's original 10 cases. We have analysed 34 other case records (Gerrits, 1965;Greer, 1957;Harvey, Blacket, and Read, 1957;Hekking and Goemans, 1957;Keeley -and Snead, 1965;Mannes and Severin, 1958;Sanerkin, Seal, and Leopold, 1966;Sheehan and .Schonfeld, 1963 ;Smith and Clark, 1964;Tsai and Jenne, 1966;Wilson, 1964, and our own three cases), omitting a further nine because of lack of data (Carlson, Martin, Keegan, and Dailey, 1966;-Greer, 1957, cases 6 to 8). We have also excluded the 23 children and adolescents suffering from -mucoviscidosis, described by Waring, Brunt, and Hilman (1967).…”

“…philia accompanying febrile attacks may lead to the diagnosis of Loeffler's syndrome (Harvey et al, 1957). Pulmonary aspergillosis may also produce asthmatic symptoms (Hinson, Moon, and Plummer, 1952) or simulate mucoid impaction (Tsai and Jenne, 1966;Sanerkin, Seal, and Leopold, 1966). Smith and Clark (1964) record a case of true mucoid impaction in which skin tests were positive to aspergillus antigen.…”

Persistent left upper lobe opacity in middle-aged gentleman

“…Fiberoptic bronchoscopy allows direct visualization of the affected airway and conclusive diagnosis of the airway component of the anomaly and has the added advantage of providing bronchial toilet as well as procuring samples for microbial investigations. [ 9 ] Direct visualization also allows ruling out an endobronchial neoplasm with greater precision and planning interventional procedures like endobronchial stenting. Bronchocele has also to be differentiated from allergic bronchopulmonary aspergillosis, condition will often disappear with treatment, and it will not have an obstructing membrane as in a bronchocele.…”