A Case of Sudden Respiratory Failure due to Tracheobronchomalacia by Relapsing Polychondritis, Successfully Rescued by Multiple Metallic Stenting and Tracheostomy

Daisuke Oryoji; Nobuyuki Ono; Daisuke Himeji; Kyoko Yoshihiro; Yasufumi Kai; Motohiro Matsuda; Hiroshi Tsukamoto; Akira Ueda

doi:10.2169/internalmedicine.8778-16

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A Case of Sudden Respiratory Failure due to Tracheobronchomalacia by Relapsing Polychondritis, Successfully Rescued by Multiple Metallic Stenting and Tracheostomy

Daisuke Oryoji, Nobuyuki Ono, Daisuke Himeji, Kyoko Yoshihiro, Yasufumi Kai, Motohiro Matsuda, Hiroshi Tsukamoto, Akira Ueda

著者情報

Daisuke Oryoji
Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
Nobuyuki Ono
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan
Daisuke Himeji
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan
Kyoko Yoshihiro
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan
Yasufumi Kai
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan
Motohiro Matsuda
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan
Hiroshi Tsukamoto
Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
Akira Ueda
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Japan

キーワード: metallic stent, relapsing polychondritis, tracheobronchial stenosis, tracheobronchomalacia

ジャーナルオープンアクセス早期公開

論文ID: 8778-16

DOI https://doi.org/10.2169/internalmedicine.8778-16

この記事には本公開記事があります。

The final version of this article is now available: Vol. 56 (2017), No. 24 pp. 3369-3372

詳細

抄録

Relapsing polychondritis (RP) is a rare systemic autoimmune disease that affects cartilaginous structures. RP causes tracheobronchomalacia (TBM) by affecting the bronchial cartilage. TBM is a fatal condition characterized by excessive weakening of the walls of the trachea and bronchi. We herein report a case of a 73-year-old man who experienced sudden respiratory failure due to TBM caused by RP. Immunosuppressive treatment did not improve his respiratory failure. Multiple metallic stentings dramatically improved his severe airway symptoms. When the airway condition becomes lethal in RP patients, then metallic stenting can be a useful treatment option.

責任著者(Corresponding author)

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