Synonyms
Definition
Diffuse panbronchiolitis (DPB) is an inflammatory lung disease, characterized by the chronic inflammation of bronchioles (small airways) in both lungs (Homma et al. 1983). The term diffuse means that lesions appear throughout both lungs, while panbronchiolitis refers to inflammation found in the respiratory bronchioles. DPB causes severe coughing, large amounts of sputum, and exertional breathlessness, often associated with chronic sinusitis, ultimately leading to respiratory failure. Histopathologically, thickened walls of terminal bronchioles, with infiltration of lymphocytes, plasma cells, and foamy macrophages, leading to chronic neutrophilic inflammatory airway disease, are the predominant features (Homma et al. 2006). Eventually, DPB develops into bronchiectasis, if left untreated, and the result will be fatal. The disease was first described by a Japanese group of clinicians as a new entity in the 1960s. It had not been accepted internationally because...
This is a preview of subscription content, log in via an institution.
References
Akira, M., Kitatani, F., Lee, Y. S., Kita, N., Yamamoto, S., Higashihara, T., et al. (1988). Diffuse panbronchiolitis: evaluation with high-resolution CT. Radiology, 168(2), 433–438.
Anthony, M., Singham, S., Soans, B., & Tyler, G. (2009). Diffuse panbronchiolitis: not just an Asian disease: Australian case series and review of the literature. Biomedical Imaging and Intervention Journal, 5(4), e19.
Homma, H. (1986). Diffuse panbronchiolitis. Japanese Journal of Medicine, 25(3), 329–334.
Homma, H., Yamanaka, A., Tanimoto, S., Tamura, M., Chijimatsu, Y., Kira, S., et al. (1983). Diffuse panbronchiolitis. A disease of the transitional zone of the lung. Chest, 83(1), 63–69.
Homma, S., Sakamoto, S., Kawabata, M., Kishi, K., Tsuboi, E., Motoi, N., et al. (2006). Comparative clinicopathology of obliterative bronchiolitis and diffuse panbronchiolitis. Respiration, 73(4), 481–487.
Izumi, T., Doi, O., Nobechi, A., et al. (1983). Nation-wide survey of diffuse panbronchiolitis. Annual report on the study of interstitial lung disease in 1982 (pp 3–41). Grant-in aid from the Ministry of Health and Welfare of Japan, Tokyo.
Kadota, J., Mukae, H., Ishii, H., Nagata, T., Kaida, H., Tomono, K., et al. (2003). Long-term efficacy and safety of clarithromycin treatment in patients with diffuse panbronchiolitis. Respiratory Medicine, 97(7), 844–850.
Keicho, N., & Hijikata, M. (2011). Genetic predisposition to diffuse panbronchiolitis. Respirology, 16(4), 581–588.
Keicho, N., Ohashi, J., Tamiya, G., Nakata, K., Taguchi, Y., Azuma, A., et al. (2000). Fine localization of a major disease-susceptibility locus for diffuse panbronchiolitis. American Journal of Human Genetics, 66(2), 501–507.
Kudoh, S., Azuma, A., Yamamoto, M., Izumi, T., & Ando, M. (1998). Improvement of survival in patients with diffuse panbronchiolitis treated with low-dose erythromycin. American Journal of Respiratory and Critical Care Medicine, 157(6 Pt 1), 1829–1832.
Mukae, H., Kadota, J., Kohno, S., Kusano, S., Morikawa, T., Matsukura, S., et al. (1995). Increase in activated CD8+ cells in bronchoalveolar lavage fluid in patients with diffuse panbronchiolitis. American Journal of Respiratory and Critical Care Medicine, 152(2), 613–618.
Nakata, K. (1999). Revision of clinical guidelines for DPB (in Japanese). Annual Report on the study of diffuse lung disease in 1998 (pp.109–11). Tokyo: Ministry of Health and Welfare of Japan.
Nakata, K., Taguchi, Y., & Kudoh, S. (2000). Therapeutic guidelines for DPB (in Japanese). Annual report on the study of diffuse lung disease in 1999 (p. 11). Tokyo: Ministry of Health and Welfare of Japan.
Okada M, Saito, N., Hosoda, Y. et al. (1980). An Epidemiological study of DPB in a large Company. Annual Report on the study of interstitial lung disease in 1980 (pp. 25–28). Grant-in Aid from the Ministry of Health and Welfare of Japan, Tokyo, Japan.
Park, M. H., Kim, Y. W., Yoon, H. I., Yoo, C. G., Han, S. K., Shim, Y. S., et al. (1999). Association of HLA class I antigens with diffuse panbronchiolitis in Korean patients. American Journal of Respiratory and Critical Care Medicine, 159(2), 526–529.
Parnham, M. J., Culic, O., Erakovic, V., Munic, V., Popovic-Grle, S., Barisic, K., et al. (2005). Modulation of neutrophil and inflammation markers in chronic obstructive pulmonary disease by short-term azithromycin treatment. European Journal of Pharmacology, 517(1–2), 132–143.
Parnham, M. J., Erakovic Haber, V., Giamarellos-Bourboulis, E. J., Perletti, G., Verleden, G. M., & Vos, R. (2014). Azithromycin: mechanisms of action and their relevance for clinical applications. Pharmacology and Therapeutics, 143(2), 225–245.
Poletti, V., Casoni, G., Chilosi, M., & Zompatori, M. (2006). Diffuse panbronchiolitis. European Respiratory Journal, 28(4), 862–871.
Shinkai, M., Foster, G. H., & Rubin, B. K. (2006a). Macrolide antibiotics modulate ERK phosphorylation and IL-8 and GM-CSF production by human bronchial epithelial cells. American Journal of Physiology. Lung Cellular and Molecular Physiology, 290(1), L75–L85.
Shinkai, M., Tamaoki, J., Kobayashi, H., Kanoh, S., Motoyoshi, K., Kute, T., et al. (2006b). Clarithromycin delays progression of bronchial epithelial cells from G1 phase to S phase and delays cell growth via extracellular signal-regulated protein kinase suppression. Antimicrobial Agents and Chemotherapy, 50(5), 1738–1744.
Shinkai, M., Lopez-Boado, Y. S., & Rubin, B. K. (2007). Clarithromycin has an immunomodulatory effect on ERK-mediated inflammation induced by Pseudomonas aeruginosa flagellin. Journal of Antimicrobial Chemotherapy, 59(6), 1096–1101.
Shinkai, M., Henke, M. O., & Rubin, B. K. (2008). Macrolide antibiotics as immunomodulatory medications: proposed mechanisms of action. Pharmacology and Therapeutics, 117(3), 393–405.
Sugiyama, Y. (1993). Diffuse panbronchiolitis. Clinics in Chest Medicine, 14(4), 765–772.
Yamanaka, A., Saiki, S., Tamura, S., & Saito, K. (1969). Problems in chronic obstructive bronchial diseases, with special reference to diffuse panbronchiolitis. Naika, 23, 442–451.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Basel
About this entry
Cite this entry
Shinkai, M., Inoue, Y. (2016). Diffuse Panbronchiolitis. In: Parnham, M. (eds) Encyclopedia of Inflammatory Diseases. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-0620-6_190-2
Download citation
DOI: https://doi.org/10.1007/978-3-0348-0620-6_190-2
Received:
Accepted:
Published:
Publisher Name: Birkhäuser, Basel
Online ISBN: 978-3-0348-0620-6
eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences