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Bronchiectasis with or without elevated sweat chloride 2(BESC2)

MedGen UID:
414437
•Concept ID:
C2751666
•
Disease or Syndrome
Synonym: BESC2
 
Gene (location): SCNN1A (12p13.31)
 
Monarch Initiative: MONDO:0013087
OMIM®: 613021

Definition

Patients with bronchiectasis with or without elevated sweat chloride-2 (BESC2) have bronchiectasis and chronic bronchitis of varying severity. Pancreatic insufficiency may be present (Azad et al., 2009). For discussion of genetic heterogeneity in bronchiectasis with or without elevated sweat chloride, see BESC1 (211400). [from OMIM]

Clinical features

From HPO
Abnormality of exocrine pancreas physiology
MedGen UID:
866753
•Concept ID:
C4021103
•
Pathologic Function
A functional anomaly of the acinar gland portion of the pancreas that secretes digestive enzymes.
See: Feature record | Search on this feature
Bronchiectasis
MedGen UID:
14234
•Concept ID:
C0006267
•
Disease or Syndrome
Persistent abnormal dilatation of the bronchi owing to localized and irreversible destruction and widening of the large airways.
See: Feature record | Search on this feature
Chronic bronchitis
MedGen UID:
3084
•Concept ID:
C0008677
•
Disease or Syndrome
Chronic inflammation of the bronchi.
See: Feature record | Search on this feature
Recurrent bronchiolitis
MedGen UID:
863573
•Concept ID:
C4015136
•
Finding
An increased susceptibility to bronchiolitis as manifested by a history of recurrent bronchiolitis.
See: Feature record | Search on this feature
Hyperpolarized transepithelial nasal potential difference
MedGen UID:
1052818
•Concept ID:
CN376612
•
Finding
Increased (more negative) voltage across the nasal epithelium.
See: Feature record | Search on this feature
Elevated sweat chloride
MedGen UID:
347278
•Concept ID:
C1856646
•
Finding
An increased concentration of chloride in the sweat.
See: Feature record | Search on this feature
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Professional guidelines

PubMed

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Lancet 2018 Sep 8;392(10150):866-879. doi: 10.1016/S0140-6736(18)31554-X. PMID: 30215382

Recent clinical studies

Etiology

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European Respiratory Society guidelines for the management of adult bronchiectasis.
Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, Murris M, Cantón R, Torres A, Dimakou K, De Soyza A, Hill AT, Haworth CS, Vendrell M, Ringshausen FC, Subotic D, Wilson R, Vilaró J, Stallberg B, Welte T, Rohde G, Blasi F, Elborn S, Almagro M, Timothy A, Ruddy T, Tonia T, Rigau D, Chalmers JD
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Diagnosis

Bronchiectasis.
Barbosa M, Chalmers JD
Presse Med 2023 Sep;52(3):104174. Epub 2023 Sep 30 doi: 10.1016/j.lpm.2023.104174. PMID: 37778637
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Nat Rev Dis Primers 2018 Nov 15;4(1):45. doi: 10.1038/s41572-018-0042-3. PMID: 30442957
Bronchiectasis in children: diagnosis and treatment.
Chang AB, Bush A, Grimwood K
Lancet 2018 Sep 8;392(10150):866-879. doi: 10.1016/S0140-6736(18)31554-X. PMID: 30215382
Bronchiectasis update.
O'Donnell AE
Curr Opin Infect Dis 2018 Apr;31(2):194-198. doi: 10.1097/QCO.0000000000000445. PMID: 29489526

Therapy

Bronchiectasis.
Barbosa M, Chalmers JD
Presse Med 2023 Sep;52(3):104174. Epub 2023 Sep 30 doi: 10.1016/j.lpm.2023.104174. PMID: 37778637
Airway clearance, mucoactive therapies and pulmonary rehabilitation in bronchiectasis.
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Nat Rev Dis Primers 2018 Nov 15;4(1):45. doi: 10.1038/s41572-018-0042-3. PMID: 30442957
Bronchiectasis in children: diagnosis and treatment.
Chang AB, Bush A, Grimwood K
Lancet 2018 Sep 8;392(10150):866-879. doi: 10.1016/S0140-6736(18)31554-X. PMID: 30215382
European Respiratory Society guidelines for the management of adult bronchiectasis.
Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, Murris M, Cantón R, Torres A, Dimakou K, De Soyza A, Hill AT, Haworth CS, Vendrell M, Ringshausen FC, Subotic D, Wilson R, Vilaró J, Stallberg B, Welte T, Rohde G, Blasi F, Elborn S, Almagro M, Timothy A, Ruddy T, Tonia T, Rigau D, Chalmers JD
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Prognosis

Bronchiectasis.
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Endotypes in bronchiectasis: moving towards precision medicine. A narrative review.
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Clinical prediction guides

Endotypes in bronchiectasis: moving towards precision medicine. A narrative review.
Martins M, Keir HR, Chalmers JD
Pulmonology 2023 Nov-Dec;29(6):505-517. Epub 2023 Apr 6 doi: 10.1016/j.pulmoe.2023.03.004. PMID: 37030997
A Double-Blind Randomized Placebo-Controlled Phase 3 Trial of Tobramycin Inhalation Solution in Adults With Bronchiectasis With Pseudomonas aeruginosa Infection.
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Chest 2023 Jan;163(1):64-76. Epub 2022 Jul 19 doi: 10.1016/j.chest.2022.07.007. PMID: 35863486
Triple Therapy for Cystic Fibrosis Phe508del-Gating and -Residual Function Genotypes.
Barry PJ, Mall MA, Álvarez A, Colombo C, de Winter-de Groot KM, Fajac I, McBennett KA, McKone EF, Ramsey BW, Sutharsan S, Taylor-Cousar JL, Tullis E, Ahluwalia N, Jun LS, Moskowitz SM, Prieto-Centurion V, Tian S, Waltz D, Xuan F, Zhang Y, Rowe SM, Polineni D; VX18-445-104 Study Group
N Engl J Med 2021 Aug 26;385(9):815-825. doi: 10.1056/NEJMoa2100665. PMID: 34437784Free PMC Article
Advances in bronchiectasis: endotyping, genetics, microbiome, and disease heterogeneity.
Flume PA, Chalmers JD, Olivier KN
Lancet 2018 Sep 8;392(10150):880-890. doi: 10.1016/S0140-6736(18)31767-7. PMID: 30215383Free PMC Article
European Respiratory Society guidelines for the management of adult bronchiectasis.
Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, Murris M, Cantón R, Torres A, Dimakou K, De Soyza A, Hill AT, Haworth CS, Vendrell M, Ringshausen FC, Subotic D, Wilson R, Vilaró J, Stallberg B, Welte T, Rohde G, Blasi F, Elborn S, Almagro M, Timothy A, Ruddy T, Tonia T, Rigau D, Chalmers JD
Eur Respir J 2017 Sep;50(3) Epub 2017 Sep 9 doi: 10.1183/13993003.00629-2017. PMID: 28889110

Recent systematic reviews

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