Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Tracheobronchial involvement as a sole manifestation of relapsing polychondritis
Journal of Bronchology and Interventional Pulmonology, Volume 17, No. 1, Year 2010
Notification
URL copied to clipboard!
Description
Study Objectives: To report the clinical, imaging, and pathologic manifestations of case series of patients in whom the only systemic expression of relapsing polychondritis (RP) was their airway complications. Design: Retrospective review of the medical records of all patients with respiratory complications of RP between 1995 and 2007. Setting: Tertiary care, university-affiliated hospital. Results: Three patients with RP had just lower airway manifestations as the only sign of their RP. All 3 were women, aged 44, 49, and 54 years. All had an abnormal chest computed tomography scan, although 2 had a completely normal chest x-ray. All had positive tracheal biopsy, which was consistent with the diagnosis of respiratory chondritis. Pulmonary function tests showed severe reduction in forced expiratory volume in 1 second in all patients. Bronchoscopy revealed tracheal narrowing with variable degrees of inflammation and collapsibility in all patients. Two of the 3 patients underwent tracheal and bronchial stent insertion. Pharmacotherapy included prednisone, methotrexate, cyclophosphamide, and leflunomide. The overall outcome was poor. Two patients died as a result of respiratory complications, 25 and 30 months from diagnoses, and 1 is still alive with follow-up of 85 months after presentation. Conclusions: Lower airway manifestations of RP can be the only sign of the disease. RP has to be considered in the differential diagnosis of patients with recent onset of progressive dyspnea and severe airflow limitation even without other systemic signs of cartilage damage. © 2010 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Maimon, Nimrod
Canada, Toronto
University Health Network University of Toronto
Lee, Peter
Egypt
Mount-sinai Hospital
Paul, Narinder Singh
Canada, Toronto
University of Toronto
Hwang, David
Canada, Toronto
University of Toronto
Marras, T.
Canada, Toronto
University Health Network University of Toronto
Keshavjee, Shaf
Canada, Toronto
University of Toronto
Chan, Charles K.N.
Canada, Toronto
University Health Network University of Toronto
Statistics
Citations: 7
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1097/LBR.0b013e3181ca27bf
ISSN:
19446586
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Female