再発性狭窄性気管気管支炎を起した異型Wegener氏病

概要

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A 39-year-old housewife ha.d lobectomy of the right upper lung lobe because of pulmonary tuberculosis 8 years ago. After that the patient was suffering from chronic productive trachitis. Although its clinical diagnosis was not established, various treatments were done, resulting in remission of the trachitis for about 5 years. However, proliferation of atypical granuloma into tracheal lumen gradually became increased and led to death. Autopsy revealed that main pathologic change consisted of cicatrical constrictive chronic trachitis and granulomatous angitis similar to Wegeners granulomatosis of the bronchi. The tracheal lesion was thought to have been caused by the granulomatous angitis. Basing on the findings, the present case was considered as Wegeners disease with atypical pathologic manifestation in the lower respiratory tract.
社団法人日本耳鼻咽喉科学会の論文