Tracheobronchitis with dyspnea in a patient with ulcerative colitis
| Autor: | Tomohiro Tada, Junko Kishikawa, Masaya Hiyoshi, Tsuyoshi Ozawa, Hironori Yamaguchi, Eiji Sunami, Takamitsu Kanazawa, Shinsuke Kazama, Kanae Kubo, Toshiaki Watanabe, Junichiro Tanaka, Kazuhiko Yamamoto, Mihoko Shibuya, Joji Kitayama, Kazushige Kawai, Takako Nirei, Soichiro Ishihara, Toshiaki Tanaka, Tomomichi Kiyomatsu, Hirofumi Shoda, Shuji Sumitomo |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Rectosigmoid Colon Bronchi Gastroenterology Inflammatory bowel disease Diagnosis Differential Young Adult Bronchoscopy Tracheobronchitis Adrenal Cortex Hormones Internal medicine Internal Medicine medicine Humans Colitis Bronchitis Respiratory Tract Infections medicine.diagnostic_test business.industry Transverse colon General Medicine Colonoscopy respiratory system Middle Aged medicine.disease Ulcerative colitis digestive system diseases Trachea Dyspnea Treatment Outcome Bloody diarrhea Colitis Ulcerative Female Tracheitis business Tomography X-Ray Computed |
| Zdroj: | Internal medicine (Tokyo, Japan). 54(7) |
| ISSN: | 1349-7235 |
| Popis: | We herein report the case of a 42-year-old man with a one-year history of ulcerative colitis who presented with exacerbated bloody diarrhea, a productive cough and increasing breathing difficulties. Colonoscopy revealed typical deep ulcers in the rectosigmoid colon and atypical multiple sucker-like ulcers in the transverse colon, and computed tomography of the chest demonstrated wall thickening of the trachea and bronchi. In addition, bronchoscopy showed ulcers in the trachea, and histopathology disclosed findings of necrosis and inflammation of the subepithelial tissue of the trachea. Based on these findings, the patient's respiratory symptoms were strongly suspected to be due to ulcerative colitis-related tracheobronchitis. Treatment with systemic corticosteroids subsequently resulted in a rapid clinical improvement. |
| Databáze: | OpenAIRE |
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