A Patient with Relapsing Polychondritis who Had Been Diagnosed as Intractable Bronchial Asthma
スポンサーリンク
概要
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A 62-year-old woman, diagnosed as bronchial asthma 3 years previously, was admitted due to acute severe dyspnea. Physical examination revealed saddle nose, flare/swelling of the ear auricles, and stridor. Computed tomography demonstrated thickening of tracheal/bronchial walls and stenosis of the lumen that deteriorated on expiration, suggesting tracheobronchomalacia. Auricle biopsy indicated cartilage destruction. Based on these findings, the patient was diagnosed as relapsing polychondritis. As demonstrated in this case, relapsing polychondritis involving airways might be misdiagnosed as bronchial asthma due to stridor and transient corticosteroid-related improvement. Early diagnosis is necessary to prevent irreversible airway stenosis and progression to tracheobronchomalacia.
著者
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Shoji Shunsuke
Department Of Allergy National Hospital Organization Tokyo National Hospital
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AKAGAWA Shinobu
Center for Respiratory Disease, NHO Tokyo National Hospital
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Ohshima Nobuharu
Department of Allergy, National Hospital Organization Tokyo National Hospital, Japan
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Nagai Hideaki
Center for Respiratory Medicine, National Hospital Organization Tokyo National Hospital
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Hebisawa Akira
Department of Clinical Research, National Hospital Organization Tokyo National Hospital, Japan
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Sato Ryota
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Masuda Kimihiko
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Matsui Hirotoshi
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Higaki Naoko
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Inoue Eri
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Suzuki Jun
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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Akagawa Shinobu
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Japan
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