Thursday, January 20, 2011


Incorrect: Peribronchial coughing

Correct: Peribronchial cuffing

Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening is a radiographic sign which occurs when excess fluid or mucus buildup in the small airway passages of the lung causes localized patches of atelectasis (lung collapse). This causes the area around the bronchus to appear more prominent on an x-ray.

Peribronchial cuffing is seen in a number of conditions including:

  • asthma following exercise or during an acute episode
  • bronchopulmonary dysplasia
  • congestive heart failure
  • cystic fibrosis
  • diffuse parenchymal lung disease
  • Extreme exertion through physical exercise
  • Hantavirus pulmonary syndrome
  • human metapneumovirus
  • Kawasaki disease
  • Lung cancer
  • Pneumonia
  • pulmonary edema
  • Smoke inhalation

Treatment -- As peribronchial cuffing is a sign rather than a symptom or condition, there is no specific treatment except to treat the underlying cause.

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