Small Airway Disease: A Step Closer to Etiology-Based Classification of Bronchiolitis

Surg Pathol Clin. 2020 Mar;13(1):189-196. doi: 10.1016/j.path.2019.10.004. Epub 2019 Nov 30.

Abstract

Three major histologic patterns of bronchiolitis: obliterative bronchiolitis, follicular bronchiolitis, and diffuse panbronchiolitis, are reviewed in detail. These distinct patterns of primary bronchiolar injury provide a useful starting point for formulating a differential diagnosis and considering possible causes. In support of the aim toward a cause-based classification system of small airway disease, a simple diagnostic algorithm is provided for further subclassification of the above 3 bronchiolitis patterns according to the major associated etiologic subgroups.

Keywords: Bronchiolitis; Classification; Diffuse panbronchiolitis; Follicular bronchiolitis; Obliterative bronchiolitis; Restrictive bronchiolitis; Small airway disease.

Publication types

  • Review

MeSH terms

  • Bronchi / pathology
  • Bronchiolitis / classification
  • Bronchiolitis / diagnosis
  • Bronchiolitis / etiology*
  • Bronchiolitis / pathology
  • Bronchiolitis Obliterans / diagnosis
  • Bronchiolitis Obliterans / etiology
  • Bronchiolitis Obliterans / pathology
  • Diagnosis, Differential
  • Haemophilus Infections / diagnosis
  • Haemophilus Infections / etiology
  • Haemophilus Infections / pathology
  • Humans
  • Lung / pathology

Supplementary concepts

  • Diffuse panbronchiolitis