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[Bronchiectasis: diagnostic workup].
[allergic bronchopulmonary aspergillosis]
Bronchiectasis
is
a
condition
defined
by
permanent
dilation
of
the
bronchi
,
either
idiopathic
or
associated
with
other
disease
states
.
Diagnostic
workup
for
bronchiectasis
is
essential
in
determining
management
and
treatment
.
For
diffuse
bronchiectasis
,
we
propose
a
workup
plan
that
includes
testing
for
humoral
immunodeficiency
by
measuring
serum
IgG
and
anti-pneumococcal
antibodies
,
looking
for
primary
ciliary
dyskinesia
by
exhaled
nasal
NO
and
cytologic
brush
biopsy
of
the
nasal
mucosa
,
looking
for
cystic
fibrosis
by
chloride
sweat
testing
and
genotyping
,
evaluation
for
allergic
bronchopulmonary
aspergillosis
,
and
testing
for
alpha-
1
-
antitrypsin
deficiency
.
Workup
studies
should
be
guided
by
the
patient
's
history
and
clinical
context
.