Eosinophilic bronchitis is a distinct entity_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LAI Kefang

Guangzhou Institute of Respiratory Disease，First Affiliated Hospital，Guangzhou Medical College．Guangzhou，Guangdong，510120，China;

Corresponding?author：

Keywords：

嗜酸粒細胞; 支氣管炎

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Gibson等首先發現7例慢性咳嗽患者表現為慢性刺激性干咳或咳少許黏痰，誘導痰嗜酸粒細胞增高，糖皮質激素治療效果良好；但患者肺通氣功能正常，無氣道高反應性 (AHR)，峰流速(PEF)變異率正常，無法診斷為支氣管哮喘，因而稱之為嗜酸粒細胞性支氣管炎(EB)。研究結果發表于 1989年國際著名雜志柳葉刀(Lancet)。從Gibson等提出 EB的診斷以來，受到國內外廣大專家的重視，雖然目前對 EB是否是一種獨立的疾病或哮喘的早期階段尚存在一些爭議，但愈來愈多的證據表明EB是一種獨立的疾病。下面從EB的定義、病因、病理免疫特征、臨床表現、治療反應及預后等方面對此問題進行討論，說明EB是一種獨立的疾病。

Citation： LAI Kefang. Eosinophilic bronchitis is a distinct entity. Chinese Journal of Respiratory and Critical Care Medicine, 2008, 08(6): 412-413. doi: Copy

1.	Gibson PG，Denburg J，Dolovich J，et al．Chronic COUgh：eosinophilic bronchitis without astIlma．Lancet，1989，1：1346．1348.
2.	O BIightling CE．Chronic Cough Due to Nonasthmatic Eosinophilic Bron— chitis．ACCP Evidence—Based Clinical Practice Guidelines．Chest．20o6.
3.	Thomson NC，Chaudhuri R．Why is eosinophilic bronchitis not asthma? Am J Respir Crit Care Med．2004，170：4-5.
4.	羅煒，賴克方，陳如沖，等．嗜酸粒細胞性支氣管炎氣道炎癥病理特征的探討．中國病理和生理雜志，2006，22：943-947.
5.	Niimi A ，Matsumoto H，Minakuchi M ，et al．Airway remodeling in cough—variant asthma．Lancet，2000，356：564-565.
6.	KanazawaH，Nomura S，Yoshikawa J．Role of microvascular permeability on physiologicdifferences in asthma and eosinophilic bronchi— tis．Am J Respir Crit Care Med，2004，169：1125-1130.
7.	Sastre B，Fern6ndez-Nieto M，Molld R，et al．Increased prostaglandin E2 levels in the airw ay of patients with eosinophilic bronchitis．Allergy，2008，63：58-66.
8.	Brightling CE，Bradding P，Symon F，et al．Mast-cell infiltration of airway smooth muscle in asthma. N Engl J Med，2002，346：1699- 1705.
9.	Hartney JM ，Coggins KG，Tilley SL，et al．Prostaglandin E2 protects lower airways against bronchoconstriction．Am J Physiol Lung Cell Mol Physiol，2006，290：L105一L1 13. 9 Brightling CE，Ward R，Wohmann G，et al．Induced sputum inflam— matory mediator concentrations in eosinophilic bronchitis and asthma. Am J Respir Crit Care Med，2000，162(3 Pt 1)：878—882.
10.	Berry MA，Hargadon B，McKenna S，et al．Observational study ofthe natural history of eosinophilic bronchitis．Clin Exp Allergy，2005， 35：598-601.
11.	Brightling CE，Ward R，Goh KL，et al．Eosinophilic bronchitis is an important cause of chronic cough．Am J Respir Crit Care Med．1999.
12.	：116—121.
13.	：406-410.

1. Gibson PG，Denburg J，Dolovich J，et al．Chronic COUgh：eosinophilic bronchitis without astIlma．Lancet，1989，1：1346．1348.
2. O BIightling CE．Chronic Cough Due to Nonasthmatic Eosinophilic Bron— chitis．ACCP Evidence—Based Clinical Practice Guidelines．Chest．20o6.
3. Thomson NC，Chaudhuri R．Why is eosinophilic bronchitis not asthma? Am J Respir Crit Care Med．2004，170：4-5.
4. 羅煒，賴克方，陳如沖，等．嗜酸粒細胞性支氣管炎氣道炎癥病理特征的探討．中國病理和生理雜志，2006，22：943-947.
5. Niimi A ，Matsumoto H，Minakuchi M ，et al．Airway remodeling in cough—variant asthma．Lancet，2000，356：564-565.
6. KanazawaH，Nomura S，Yoshikawa J．Role of microvascular permeability on physiologicdifferences in asthma and eosinophilic bronchi— tis．Am J Respir Crit Care Med，2004，169：1125-1130.
7. Sastre B，Fern6ndez-Nieto M，Molld R，et al．Increased prostaglandin E2 levels in the airw ay of patients with eosinophilic bronchitis．Allergy，2008，63：58-66.
8. Brightling CE，Bradding P，Symon F，et al．Mast-cell infiltration of airway smooth muscle in asthma. N Engl J Med，2002，346：1699- 1705.
9. Hartney JM ，Coggins KG，Tilley SL，et al．Prostaglandin E2 protects lower airways against bronchoconstriction．Am J Physiol Lung Cell Mol Physiol，2006，290：L105一L1 13. 9 Brightling CE，Ward R，Wohmann G，et al．Induced sputum inflam— matory mediator concentrations in eosinophilic bronchitis and asthma. Am J Respir Crit Care Med，2000，162(3 Pt 1)：878—882.
10. Berry MA，Hargadon B，McKenna S，et al．Observational study ofthe natural history of eosinophilic bronchitis．Clin Exp Allergy，2005， 35：598-601.
11. Brightling CE，Ward R，Goh KL，et al．Eosinophilic bronchitis is an important cause of chronic cough．Am J Respir Crit Care Med．1999.
12. ：116—121.
13. ：406-410.

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