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鹅卵石样气管:气管支气管骨软骨瘤病的病例系列及文献综述

Pebbled Trachea: A Case Series and Literature Review of Tracheobronchopathia Osteochondroplastica.

作者信息

Sharma Deepthi, Kamath Sindhu, Acharya Vishak K, Rai Sharada

机构信息

Department of Pulmonary Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India.

Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India.

出版信息

J Glob Infect Dis. 2021 Nov 9;13(4):180-182. doi: 10.4103/jgid.jgid_379_20. eCollection 2021 Oct-Dec.

DOI:10.4103/jgid.jgid_379_20
PMID:35017875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8697822/
Abstract

We report a series of three cases diagnosed with tracheobronchopathia osteochondroplastica on bronchoscopy and computed tomography (CT) chest. Most patients were diagnosed incidentally on evaluation for chronic cough. The association of this entity with chronic bacterial infections and tuberculosis is an intriguing entity that was observed in our patients. Nodular, ulcerative, and calcific lesions in the trachea are bronchoscopic findings seen in quite a few other conditions posing diagnostic challenges. However, the classical bronchoscopic appearance with CT imaging in an appropriate clinical context can lead to an accurate diagnosis of this condition. We describe this array of cases with varying clinical presentations, their associations, and deliberate the literature reviews on this rare entity.

摘要

我们报告了一系列3例经支气管镜检查和胸部计算机断层扫描(CT)诊断为骨软骨成形性气管支气管病的病例。大多数患者在因慢性咳嗽进行评估时被偶然诊断。该疾病与慢性细菌感染和结核病的关联是我们在患者中观察到的一个有趣现象。气管中的结节性、溃疡性和钙化性病变是在其他一些疾病中也可见到的支气管镜检查结果,这给诊断带来了挑战。然而,在适当的临床背景下,经典的支气管镜表现结合CT成像可准确诊断该疾病。我们描述了这一系列具有不同临床表现及其关联的病例,并对关于这个罕见疾病的文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/8697822/ccd09c2eba5e/JGID-13-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/8697822/ab1a39fc6062/JGID-13-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/8697822/ccd09c2eba5e/JGID-13-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/8697822/ab1a39fc6062/JGID-13-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/8697822/ccd09c2eba5e/JGID-13-180-g002.jpg

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本文引用的文献

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Clinical Characteristics of Tracheobronchopathia Osteochondroplastica.气管支气管骨软骨病的临床特征。
Respir Care. 2019 Feb;64(2):196-200. doi: 10.4187/respcare.05867. Epub 2018 Sep 4.
2
Tracheobronchopathia osteochondroplastica: awareness is the key for diagnosis and management.骨软骨瘤病性气管支气管病:认识是诊断和管理的关键。
BMJ Case Rep. 2017 Aug 7;2017:bcr-2017-220567. doi: 10.1136/bcr-2017-220567.
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Tracheobronchopathia Osteochondroplastica: a rare case report of a non-smoker and non-atopic patient, with a long history of wheezing since childhood.
气管支气管骨软骨化生:一例非吸烟者及非特应性患者的罕见病例报告,患者自幼有长期喘息病史。
Multidiscip Respir Med. 2016 Apr 19;11:16. doi: 10.1186/s40248-016-0050-7. eCollection 2016.
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PLoS One. 2014 Jul 11;9(7):e102068. doi: 10.1371/journal.pone.0102068. eCollection 2014.
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Tracheobronchopathia osteochondroplastica--a rare or an overlooked entity?骨化性气管支气管病——一种罕见还是被忽视的疾病?
J Radiol Case Rep. 2013 Mar 1;7(3):16-25. doi: 10.3941/jrcr.v7i3.1305. Print 2013 Mar.
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Tracheobronchopathia osteochondroplastica: presentation of ten cases and review of the literature.骨软骨瘤病性气管支气管病:10例报告及文献复习
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Multidetector CT-generated virtual bronchoscopy: an illustrated review of the potential clinical indications.多排螺旋CT生成的虚拟支气管镜检查:潜在临床适应证的图示综述
Eur Respir J. 2004 May;23(5):776-82. doi: 10.1183/09031936.04.00099804.
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Nonneoplastic lesions of the tracheobronchial wall: radiologic findings with bronchoscopic correlation.气管支气管壁的非肿瘤性病变:影像学表现与支气管镜检查结果的相关性
Radiographics. 2002 Oct;22 Spec No:S215-30. doi: 10.1148/radiographics.22.suppl_1.g02oc02s215.
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