Internal medicine (Tokyo, Japan) · 2012
A patient with relapsing polychondritis who had been diagnosed as intractable bronchial asthma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
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Sato Ryota, Ohshima Nobuharu, Masuda Kimihiko, Matsui Hirotoshi, Higaki Naoko, Inoue Eri, Suzuki Jun, Nagai Hideaki, Akagawa Shinobu, Hebisawa Akira, Shoji Shunsuke
Аннотация
A 62-year-old woman, diagnosed as bronchial asthma 3 years previously, was admitted due to acute severe dyspnea. Physical examination revealed saddle nose, flare/swelling of the ear auricles, and stridor. Computed tomography demonstrated thickening of tracheal/bronchial walls and stenosis of the lumen that deteriorated on expiration, suggesting tracheobronchomalacia. Auricle biopsy indicated cartilage destruction. Based on these findings, the patient was diagnosed as relapsing polychondritis. As demonstrated in this case, relapsing polychondritis involving airways might be misdiagnosed as bronchial asthma due to stridor and transient corticosteroid-related improvement. Early diagnosis is necessary to prevent irreversible airway stenosis and progression to tracheobronchomalacia.