Journal of Internal Medicine Concepts & Practice ›› 2024, Vol. 19 ›› Issue (01): 72-76.doi: 10.16138/j.1673-6087.2024.01.13

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Progress in diagnosis and treatment of obliterated bronchiolitis after lung transplantation

ZHU Haixing, ZHOU Min()   

  1. Department of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2023-09-20 Online:2024-02-29 Published:2024-04-28
  • Contact: ZHOU Min E-mail:doctor_zhou_99@163.com

Abstract:

Bronchiolitis obliterans syndrome(BOS) is the most common non-infectious form of chronic lung allograft dysfunction. In recent years, diagnosis methods such as screening studies of lung function in the early 0p stage of the disease, small airway reconstruction techniques with thin-layer CT scan images, 3He-MRI and other imaging examination technique, and bronchoalveolar lavage-derived biomarkers are used, to make the understanding BOS to improve a lot. In terms of therapeutic strategies, many promising treatment modalities such as prophylactic azithromycin use, lung re-transplantation, and umbilical cord blood-derived mesenchymal stem cells have been applied. These advances in diagnostic methods and therapeutic strategies for occlusive bronchiolitis obliterans syndromes provide more theoretical references and insights into the early monitoring and management of the development of the disease.

Key words: Chronic lung transplant dysfunction, Bronchiolitis obliterans syndrome, Chronic graft versus host disease

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