Internal medicine (Tokyo, Japan) · 2015
Tracheobronchitis with dyspnea in a patient with ulcerative colitis.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hiyoshi Masaya, Kawai Kazushige, Shibuya Mihoko, Ozawa Tsuyoshi, Kishikawa Junko, Nirei Takako, Tanaka Toshiaki, Tanaka Junichiro, Kiyomatsu Tomomichi, Tada Tomohiro, Kanazawa Takamitsu, Kazama Shinsuke, Shoda Hirofumi, Sumitomo Shuji, Kubo Kanae, Yamaguchi Hironori, Ishihara Soichiro, Sunami Eiji, Kitayama Joji, Yamamoto Kazuhiko, Watanabe Toshiaki
Аннотация
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.