Focal, segmental pneumosclerosis

Clinical course and symptoms
Focal, segmental pneumosclerosis. Main symptom is a cough, sometimes chest pain (limited pleurisy). Cough at first with little sputum - mucous, mucous-purulent and sometimes purulent. In the following there is a link cough and sputum with the position of the patient's body (on the back, on the side, "morning sputum"). Periodically - acute, usually in spring and autumn with febrile, often subfebrile temperature.
Objectively on a limited area of the lungs (often in the lower and middle lobes) are listening to a small amount of wet medium and fine bubble of wheezing, sometimes with a single loud wheezing, often in combination with dry. These wheezing often disappear in the research process, but then again occur in the same place (C. A. Chukanov). Breathing normally not changed. Radiograph (x-ray) is determined limited strengthening of lung picture. Further development has several options. In the early stages timely treatment (UHF, diathermy, breathing exercises) can lead to the disappearance of clinical and radiological features. There remains a tendency to relapse in the same place. Under favourable circumstances of objective symptoms is not growing; it is not observed cough or he rare; sputum, if it is minor, mucous; temperature flares are not available or are very rare. Pneumosclerosis is not progressing or extremely slowly progressive character. This condition occurs most often in non-smokers, not exposed to the cold of people. In other cases, pneumosclerosis, beginning with measles or pertussis pneumonia in childhood, is shown by clinical symptoms only adult (often after Smoking) and, slowly progressing, results for many years to expanded picture bronchial ecstatic disease. Last may, however, develop, and for several months after suffering pneumonia (Brower). The most serious option is multifocal form (due bronchogenic dissemination) with layering suppurative processes that creates a picture of "nonspecific pulmonary tuberculosis" (I. Century Davydov).
When the so-called syndrome of moderate share of the lead in the pathogenesis is compression of the bronchus surrounding lymph nodes (often metastatic) or development Abdurasulova bronchitis. The result is a middle lobe with the retention inflammation and sclerosis. The average share may be affected and normal pneumonia, followed by sclerosis. Objective data is scarce and not always captured: front above the diaphragm is marked by a narrow strip of blunting with the weakening of breath; with the development of bronchiectasis listen bitter wheezing. Crucial for the diagnosis has fluoroscopy in an oblique position. In the diagnosis of focal processes necessary "cancer alert". Cancer often occurs on the soil of pneumosclerosis, but it can serve as a cause of atelectasis and the subsequent development of pneumosclerosis. At the slightest suspicion on cancer physiotherapy is contraindicated.
Plevralny pneumosclerosis (corticolimbic). Clinically there is a slight retraction of the respective party with restriction of its mobility. Auscultatory - a large number of wet, bitter wheezing over a large area, "close to the ear" in the face of weak breathing without bronchial component.