Abstract
Tracheopathia osteochondroplastica (TPO) is a rare, but increasingly recognised condition in which there is accumulation of calcium phosphate with benign submucous proliferation of cartilage and bone beneath the tracheal mucosa, often with squamous metaplasia of the mucosal columnar epithelium. This condition is usually asymptomatic, but may be slowly progressive, causing haemoptysis, dry cough and dyspnoea. We report a case of TPO in which there was rapid progression of tracheal stenosis such that the size of endotracheal tube that the upper airway would accept changed from 8.00 mm to 3.0 mm during a six-week period. This extreme reduction in airway calibre had not been detected on spirometry nine days prior to his final admission. This is the first report of such rapid progression of tracheal stenosis associated with TPO.
Article PDF
Similar content being viewed by others
References
Martin CJ (1974) Tracheobronchopathia osteochondro-plastica. Arch Otorhinolaryngol 100:290
Clee MD, Anderson JM, JohnstonRN (1983) Clinical aspects of tracheobronchopathia osteochondroplastica. Br J Dis Chest 77:308
Alroy GG, Lichtig L, Kaftori J (1972) Tracheobronchopathia osteochondroplastica: end stage of primary lung amyloidosis. Chest 60:5, 465–468
Miller RD, Hyatt RE (1973) Evaluation of obstructing lesion of trachea and larynx by flow volume loops. Am Rev Respir Dis 108:475–481
Berend N, Harrison AC, Hartnett BJS, Lawson J, Marlin GE (1979) Tracheobronchopathia osteochondroplastica. Aust NZ J Med 9:188–192
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Molloy, A.R., McMahon, J.N. Rapid progression of tracheal stenosis associated with tracheopathia osteo-chondroplastica. Intensive Care Med 15, 60–62 (1988). https://doi.org/10.1007/BF00255642
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00255642