Takagi Masamichi, Yamazi Tomohisa, Yano Heiichi, Tai Hisakazu
Department of Respiratory Medicine, Jikei University Kashiwa Hospital.
Nihon Kokyuki Gakkai Zasshi. 2006 Dec;44(12):997-1001.
A 57-year-old man was admitted to our hospital because of fever, cough and polyarthralgia. A physical examination revealed polyarthritis and saddle nose. Chest computed tomography showed stenosis of the trachea and both main bronchi. Relapsing polychondritis (RP) was diagnosed, and steroid therapy was started. Dyspnea at rest appeared suddenly. Bronchoscopy showed stenosis from the trachea to both main bronchi. An expandable metallic stent (Ultraflex) was placed in the trachea and both main bronchi. After the procedure, bronchoscopy showed a widely patent airway, and his symptoms were improved. Since airway complications of RP can be fatal, tracheobronchial stent placement should be considered in the management of RP with airway stenosis.
一名57岁男性因发热、咳嗽和多关节痛入院。体格检查发现多关节炎和鞍鼻。胸部计算机断层扫描显示气管和双侧主支气管狭窄。诊断为复发性多软骨炎(RP),并开始使用类固醇治疗。患者突然出现静息时呼吸困难。支气管镜检查显示从气管到双侧主支气管均有狭窄。在气管和双侧主支气管置入了可扩张金属支架(Ultraflex)。术后支气管镜检查显示气道广泛通畅,患者症状改善。由于RP的气道并发症可能致命,对于有气道狭窄的RP患者,在治疗中应考虑放置气管支气管支架。