克罗恩病累及气管支气管导致的急性呼吸衰竭。

Acute respiratory failure due to tracheobronchial involvement in Crohn's disease.

作者信息

Lamblin C, Copin M C, Billaut C, Marti R, Tacq V, Riviere O, Wallaert B

机构信息

Service de Pneumologie et Immuno-Allergologie, C, Hôpital A. Calmette, Lille, France.

出版信息

Eur Respir J. 1996 Oct;9(10):2176-8. doi: 10.1183/09031936.96.09102176.

DOI:10.1183/09031936.96.09102176

PMID:8902486

Abstract

We present a case of tracheobronchial involvement in Crohn's disease, associated with respiratory failure leading to mechanical ventilation. Bronchoscopy revealed small, diffuse, whitish granulations and erythematous mucosa. Histopathology disclosed ulcerative bronchitis and noncaseating tuberculoid granuloma. The patient improved under a 6 week oral corticosteroid treatment followed by inhaled corticotherapy, without relapse of pulmonary symptoms.

摘要

我们报告一例克罗恩病累及气管支气管，并伴有呼吸衰竭导致机械通气的病例。支气管镜检查发现有小的、弥漫性的、白色颗粒及黏膜红斑。组织病理学显示为溃疡性支气管炎和非干酪样结核样肉芽肿。患者在接受6周口服皮质类固醇治疗，随后进行吸入性皮质激素治疗后病情好转，肺部症状未复发。