Kamada Takahiro, Ito Isao, Kanemitsu Yoshihiro, Sato Susumu, Matsumoto Hisako, Niimi Akio, Mishima Michiaki
Department of Respiratory Medicine, Kyoto University Hospital, Japan; Department of Respiratory Medicine, Kobe City Medical Center West Hospital, Japan.
Department of Respiratory Medicine, Kyoto University Hospital, Japan.
Respir Investig. 2017 Jan;55(1):69-73. doi: 10.1016/j.resinv.2016.09.005. Epub 2016 Nov 17.
Relapsing polychondritis (RP) is characterized by recurrent systemic inflammation of the cartilages and is accompanied by central airway collapse. We report a case wherein three-dimensional imaging of respiratory system resistance (Rrs) and respiratory system reactance (Xrs) by using MostGraph (CHEST M.I., Tokyo, Japan), a forced oscillation system, revealed that Rrs and Xrs in the inspiratory and expiratory phases correlated with proximal airway collapse. The degree of difference in Rrs and Xrs between the supine and sitting positions reflected airway collapse more closely than did the pulmonary function test. MostGraph could be a useful tool for assessing airway collapse in RP.
复发性多软骨炎(RP)的特征是软骨反复出现全身性炎症,并伴有中央气道塌陷。我们报告了一例病例,其中使用强迫振荡系统MostGraph(日本东京CHEST M.I.)对呼吸系统阻力(Rrs)和呼吸系统电抗(Xrs)进行三维成像,结果显示吸气和呼气阶段的Rrs和Xrs与近端气道塌陷相关。仰卧位和坐位之间Rrs和Xrs的差异程度比肺功能测试更能准确反映气道塌陷情况。MostGraph可能是评估RP气道塌陷的有用工具。