Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Respiratory Diseases
Tracheo-bronchitis Associated with Crohn's Disease Improved on Inhaled Corticotherapy
Shin-ichi KINEBUCHIKazumasa OOHASHIToshinori TAKADAHiroshi MORIYAMAHirohisa YOSHIZAWAOsamu KOBAYASHIEiichi SUZUKIFumitake GEJYO
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JOURNAL OPEN ACCESS

2004 Volume 43 Issue 9 Pages 829-834

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Abstract

We report a case of tracheo-bronchitis in Crohn's disease. A 23-year-old Japanese woman who had been diagnosed with Crohn's disease three years previously was hospitalized. She had been suffering from dry cough for one month. Computed tomography of the chest revealed marked thickening of the tracheal wall. Bronchoscopy showed erythematous and edematous mucosa with diffuse whitish granular lesions in the trachea and bronchi. The bronchial biopsy specimens showed non-specific inflammatory infiltrates consisting of lymphocytes and plasma cells, and hyperplasia of bronchial glands. Inhaled corticotherapy, fluticasone propionate 800 μg/day, was effective for both the inflammatory mucosa and thickened tracheal wall.

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© 2004 by The Japanese Society of Internal Medicine
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