Adult bronchiolitis natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

If left untreated, patients with adult bronchiolitis may progress to develop cough, wheezing, and dyspnea. Common complications of adult bronchiolitis include chronic bronchitis, pneumonia, and death. Prognosis is generally excellent if viral in origin with full recovery upon completion of treatment. However, occupational bronchiolitis tends to be irreversible and permanent.

Natural History, Complications, and Prognosis

Natural History

If left untreated, patients with adult bronchiolitis may progress to develop cough, wheezing, and dyspnea.^[1]^[2]^[3]

Complications

Common complications of adult bronchiolitis of include:
- Restrictive COPD
- Respiratory failure
- Asthma
- Emphysema
- Chronic bronchitis
- Pneumonia
- Death

Prognosis

Prognosis is generally excellent if viral in origin with full recovery upon completion of treatment. However, occupational bronchiolitis tends to be irreversible and permanent.

References

↑ Heng D, Sharples LD, McNeil K, Stewart S, Wreghitt T, Wallwork J (December 1998). "Bronchiolitis obliterans syndrome: incidence, natural history, prognosis, and risk factors". J. Heart Lung Transplant. 17 (12): 1255–63. PMID 9883768.
↑ Bellon G (January 2001). "[Acute bronchiolitis. Natural history]". Arch Pediatr (in French). 8 Suppl 1: 31S–38S. PMID 11232440.
↑ Scott JP, Higenbottam TW, Clelland C, Hutter JA, Stewart S, Otulana BA, Wallwork J (February 1989). "The natural history of obliterative bronchiolitis and occlusive vascular disease of patients following heart-lung transplantation". Transplant. Proc. 21 (1 Pt 3): 2592–3. PMID 2539680.

[pmid9883768-1] Heng D, Sharples LD, McNeil K, Stewart S, Wreghitt T, Wallwork J (December 1998). "Bronchiolitis obliterans syndrome: incidence, natural history, prognosis, and risk factors". J. Heart Lung Transplant. 17 (12): 1255–63. PMID 9883768.

[pmid11232440-2] Bellon G (January 2001). "[Acute bronchiolitis. Natural history]". Arch Pediatr (in French). 8 Suppl 1: 31S–38S. PMID 11232440.

[pmid2539680-3] Scott JP, Higenbottam TW, Clelland C, Hutter JA, Stewart S, Otulana BA, Wallwork J (February 1989). "The natural history of obliterative bronchiolitis and occlusive vascular disease of patients following heart-lung transplantation". Transplant. Proc. 21 (1 Pt 3): 2592–3. PMID 2539680.

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