PT  - JOURNAL ARTICLE
AU  - Lamia Berny
AU  - Hanane Benjelloune
AU  - Nahid Zaghba
AU  - Abdelaziz Bakhatar
AU  - Najiba Yassine
TI  - The dilation of bronchi (about 294 case)
AID  - 10.1183/13993003.congress-2015.PA2619
DP  - 2015 Sep 01
TA  - European Respiratory Journal
PG  - PA2619
VI  - 46
IP  - suppl 59
4099  - http://erj.ersjournals.com/content/46/suppl_59/PA2619.short
4100  - http://erj.ersjournals.com/content/46/suppl_59/PA2619.full
SO  - Eur Respir J2015 Sep 01; 46
AB  - Described in 1819 by Laennec, the dilation of bronchi is defined by the permanent and irreversible increase in bronchial caliber with destruction of the skeleton fibrocartilaginous .It is a frequent affection, that always raises a problem of care. We report a retrospective study of 294 cases of dilation of bronchi,brought together in the service of the University Hospital of respiratory diseases Ibn Rochd of Casablanca between January 2002 and January 2015. The mean age was 43 years (14-91 years), with female predominantly in 78% of the cases. The etiological investigation identified a medical history of pulmonary tuberculosis in 104 cases of respiratory infection and a medical history of childhood respiratory disease in 43 cases. The average deadline of consultation is 6 months. The clinical symptomatology were dominated by bronchorrhea in 267cas, dyspnea in 143 cases and hemoptysis in 112 cases. The thoracic imaging objectified dilation of bronchi in 189 cases, located in 100 of the cases and bilateral in 89of the cases. The dilations are cylindrical in 13% of the cases, cystic in 51% of the cases and varicose in 36% of the cases .using a Bronchoscopy, bronchial inflammation was found in 218 cases, as well as a foreign body and a budding tumor in two cases each.Probabilistic antibiotherapy and respiratory physiotherapy are indicated for all our patients. Only 21 patients were operated. The evolution was favorable in 98% of the cases. The dilation of bronchi represents a frequent pathology and a delicate management for the pulmonologist. The causes remains dominated, in our context, by the tuberculosis and the infantile respiratory disease, in spite of the vaccination and the antituberculous control program.