Chest pain and exacerbations of bronchiectasis

Paul T King,1,2 Stephen R Holdsworth,2 Michael Farmer,1 Nicholas J Freezer,1 Peter W Holmes11Department of Respiratory and Sleep Medicine, 2Monash University Department of Medicine, Monash Medical Centre, Melbourne, Victoria, AustraliaBackground: Bronchiectasis is a common disease and a major cause...

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Main Authors: King PT, Holdsworth SR, Farmer M, Freezer NJ, Holmes PW
Format: Article
Language:English
Published: Dove Medical Press 2012-12-01
Series:International Journal of General Medicine
Online Access:http://www.dovepress.com/chest-pain-and-exacerbations-of-bronchiectasis-a11708
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author King PT
Holdsworth SR
Farmer M
Freezer NJ
Holmes PW
author_facet King PT
Holdsworth SR
Farmer M
Freezer NJ
Holmes PW
author_sort King PT
collection DOAJ
description Paul T King,1,2 Stephen R Holdsworth,2 Michael Farmer,1 Nicholas J Freezer,1 Peter W Holmes11Department of Respiratory and Sleep Medicine, 2Monash University Department of Medicine, Monash Medical Centre, Melbourne, Victoria, AustraliaBackground: Bronchiectasis is a common disease and a major cause of respiratory morbidity. Chest pain has been described as occurring in the context of bronchiectasis but has not been well characterized. This study was performed to describe the characteristics of chest pain in adult bronchiectasis and to define the relationship of this pain to exacerbations.Subjects and methods: We performed a prospective study of 178 patients who were followed-up for 8 years. Subjects were reviewed on a yearly basis and assessed for the presence of chest pain. Subjects who had chest pain at the time of clinical review by the investigators were included in this study. Forty-four patients (25%) described respiratory chest pain at the time of assessment; in the majority of cases 39/44 (89%), this occurred with an exacerbation and two distinct types of chest pain could be described: pleuritic (n = 4) and non-pleuritic (n = 37), with two subjects describing both forms. The non-pleuritic chest pain occurred most commonly over both lower lobes and was mild to moderate in severity. The pain subsided as patients recovered. Conclusion: Non-pleuritic chest pain occurs in subjects with bronchiectasis generally in association with exacerbations.Keywords: sputum, collapse, bronchitis, airway obstruction
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spelling doaj.art-d3087d942b694900b213a5c4026c613f2022-12-21T19:00:14ZengDove Medical PressInternational Journal of General Medicine1178-70742012-12-012012default10191024Chest pain and exacerbations of bronchiectasisKing PTHoldsworth SRFarmer MFreezer NJHolmes PWPaul T King,1,2 Stephen R Holdsworth,2 Michael Farmer,1 Nicholas J Freezer,1 Peter W Holmes11Department of Respiratory and Sleep Medicine, 2Monash University Department of Medicine, Monash Medical Centre, Melbourne, Victoria, AustraliaBackground: Bronchiectasis is a common disease and a major cause of respiratory morbidity. Chest pain has been described as occurring in the context of bronchiectasis but has not been well characterized. This study was performed to describe the characteristics of chest pain in adult bronchiectasis and to define the relationship of this pain to exacerbations.Subjects and methods: We performed a prospective study of 178 patients who were followed-up for 8 years. Subjects were reviewed on a yearly basis and assessed for the presence of chest pain. Subjects who had chest pain at the time of clinical review by the investigators were included in this study. Forty-four patients (25%) described respiratory chest pain at the time of assessment; in the majority of cases 39/44 (89%), this occurred with an exacerbation and two distinct types of chest pain could be described: pleuritic (n = 4) and non-pleuritic (n = 37), with two subjects describing both forms. The non-pleuritic chest pain occurred most commonly over both lower lobes and was mild to moderate in severity. The pain subsided as patients recovered. Conclusion: Non-pleuritic chest pain occurs in subjects with bronchiectasis generally in association with exacerbations.Keywords: sputum, collapse, bronchitis, airway obstructionhttp://www.dovepress.com/chest-pain-and-exacerbations-of-bronchiectasis-a11708
spellingShingle King PT
Holdsworth SR
Farmer M
Freezer NJ
Holmes PW
Chest pain and exacerbations of bronchiectasis
International Journal of General Medicine
title Chest pain and exacerbations of bronchiectasis
title_full Chest pain and exacerbations of bronchiectasis
title_fullStr Chest pain and exacerbations of bronchiectasis
title_full_unstemmed Chest pain and exacerbations of bronchiectasis
title_short Chest pain and exacerbations of bronchiectasis
title_sort chest pain and exacerbations of bronchiectasis
url http://www.dovepress.com/chest-pain-and-exacerbations-of-bronchiectasis-a11708
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