Abstract
In childhood, a clear definition, etiology, natural history, therapy, and prognosis have not been described for chronic bronchitis. In fact, its validity as a single disease entity is in question. This article offers a pragmatic approach by considering "chronic bronchitis" as a pathophysiologic description of a symptom complex that results from the interaction of both intrinsic and extrinsic factors. In this schema, the physician should rule out more specific diagnoses and prevent further airway disease by limiting exogenous causes of airway damage and treating identifiable endogenous ones.
MeSH terms
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Adrenergic beta-Agonists / therapeutic use
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Adult
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Age Factors
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Air Pollution / adverse effects
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Anti-Bacterial Agents / therapeutic use
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Asthma / diagnosis
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Bronchitis* / diagnosis
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Bronchitis* / drug therapy
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Bronchitis* / etiology
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Bronchitis* / physiopathology
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Bronchodilator Agents / therapeutic use
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Child
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Child, Preschool
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Chronic Disease
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Cystic Fibrosis / diagnosis
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Diagnosis, Differential
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Foreign Bodies / diagnosis
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Heart Defects, Congenital / diagnosis
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Humans
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Nicotiana
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Plants, Toxic
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Pneumonia / complications
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Respiratory Tract Infections / diagnosis
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Smoke / adverse effects
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Theophylline / therapeutic use
Substances
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Adrenergic beta-Agonists
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Anti-Bacterial Agents
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Bronchodilator Agents
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Smoke
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Theophylline