
Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening, is a
radiologic sign which occurs when excess fluid or
mucus buildup in the small airway passages of the
lung
The lungs are the primary Organ (biology), organs of the respiratory system in many animals, including humans. In mammals and most other tetrapods, two lungs are located near the Vertebral column, backbone on either side of the heart. Their ...
causes localized patches of
atelectasis (lung collapse).
This causes the area around the
bronchus to appear more prominent on an
X-ray
An X-ray (also known in many languages as Röntgen radiation) is a form of high-energy electromagnetic radiation with a wavelength shorter than those of ultraviolet rays and longer than those of gamma rays. Roughly, X-rays have a wavelength ran ...
. It has also been described as donut sign, considering the edge is thicker, and the center contains air.
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Examples
Peribronchial cuffing is seen in a number of conditions including:
*
Acute bronchitis
*
Asthma following exercise or during an acute episode
*
Bronchiolitis
*
Bronchopulmonary dysplasia
*
Congestive heart failure
*
Cystic fibrosis
Cystic fibrosis (CF) is a genetic disorder inherited in an autosomal recessive manner that impairs the normal clearance of Sputum, mucus from the lungs, which facilitates the colonization and infection of the lungs by bacteria, notably ''Staphy ...
*
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.
References
{{Radiologic signs
Bronchus disorders
Radiologic signs