Charfi M R, Dougui M H, Bazar Bazar N, Boubaker S, Zbiba M, Belalgia M S
Unité de Pneumologie, Hôpital des Forces de Sécurité Interieure, La Marsa, Tunisie.
Rev Mal Respir. 1999 Nov;16(5):846-8.
Bronchopulmonary involvement is uncommon in ulcerative colitis. Bronchiectasis is a rare manifestation of the disease. We report a case of a 65-year-old patient with ulcerative colitis in whom we diagnosed bronchiectasis. The evidence of a relationship between bronchiectasis and ulcerative colitis was established on the basis of 3 criteria: the late occurrence of bronchiectasis in a patient without pulmonary history, their appearance after the ulcerative colitis developed and their improvement after inhaled corticosteroid treatment. This observation points out that ulcerative colitis investigations should be extended to the respiratory structures. The respiratory involvement is not always concomitant with the bowel disease. This observation suggests the efficiency of the inhaled corticosteroids in this disease.
支气管肺受累在溃疡性结肠炎中并不常见。支气管扩张是该疾病的一种罕见表现。我们报告一例65岁溃疡性结肠炎患者,我们在其身上诊断出支气管扩张。支气管扩张与溃疡性结肠炎之间关系的证据基于以下3条标准确立:在无肺部病史的患者中支气管扩张出现较晚,在溃疡性结肠炎发病后出现,以及吸入糖皮质激素治疗后病情改善。该观察结果指出,溃疡性结肠炎的检查应扩展至呼吸结构。呼吸受累并不总是与肠道疾病同时出现。该观察结果提示吸入糖皮质激素在这种疾病中的有效性。