Article1 June 1958SURGICAL THERAPY FOR CHRONIC NONSPECIFIC PNEUMONITISW. RALPH DEATON JR., M.D.W. RALPH DEATON JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-6-1289 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1948 Kershner and Adams4introduced the term "chronic nonspecific pneumonitis" to describe a definite pulmonary lesion that had several characteristics. Clinically, this lesion provoked a febrile illness with an insidious onset, chronic course, productive cough, pleuritic pain, and occasionally hemoptysis. Pathologically, the involved area, usually limited to a lobe, was heavy and fibrotic. Microscopic examination showed intralobular and interalveolar fibrosis, thickening of the alveolar walls, lymphoid and plasma cell hyperplasia, redundance of the bronchial mucosa, chronic atelectasis, and hemorrhagic and purulent alveolar exudate. Kershner and Adams reported on the surgical treatment of 10 such cases, all of whom had...Bibliography1. AsheMcDonaldClagett WMJROT: Nonspecific pneumonitis of the left upper lobe (simulating the "middle lobe syndrome" and producing an early superior pulmonary sulcus syndrome), J. Thoracic Surg. 21: 1-6, 1951. CrossrefGoogle Scholar2. BrewerJonesDolley LAWMFS: Non-malignant intrathoracic lesions simulating bronchogenic carcinoma, J. Thoracic Surg. 17: 439-463, 1948. CrossrefGoogle Scholar3. DavisPeabodyKatz EWJWS: The solitary pulmonary nodule, J. Thoracic Surg. 32: 728-771, 1956. CrossrefGoogle Scholar4. KershnerAdams RDWE: Chronic nonspecific suppurative pneumonitis, J. Thoracic Surg. 17: 495-513, 1948. CrossrefGoogle Scholar5. MacQuigg RE: Abronchiectatic bronchiectasis: the recognition of surgical pneumonitis, Am. J. Surg. 22: 465-473, 1956. Google Scholar6. WaddellSniffenSweet WRRCRH: Chronic pneumonitis: its clinical and pathologic importance, J. Thoracic Surg. 18: 707-737, 1949. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Greensboro, North Carolina*Received for publication May 3, 1957.From The Department of Surgery, The Moses H. Cone Memorial Hospital, Greensboro, North Carolina.Requests for reprints should be addressed to W. Ralph Deaton, Jr., M.D., 1027 Professional Village, Greensboro, North Carolina. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1958Volume 48, Issue 6Page: 1289-1299KeywordsAntibioticsBronchiectasisBronchitisChronic bronchitisFibrosisLesionsMucous membranesPlasma cellsPneumonitisSurgery Issue Published: 1 June 1958 PDF DownloadLoading ...