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Tracheo-bronchitis as a complication of Crohn's disease —A case report—

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Abstract

A case of Crohn's enterocolitis associated with diffuse tracheo-bronchitis is presented herein. Although respiratory tract involvement in Crohn's disease is extremely rare, our review of the world literature revealed several common clinical pathologic features. These features include a productive cough with chest X-ray films which are normal except for some peripheral involvement. Bronchoscopy, however, shows diffuse inflammation of the trachea and bronchi with widely scattered whitish lesions while biopsy reveals a granulomatous infiltration of inflammatory cells. This tracheobronchitis typically responds well to treatment with prednisone.

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Authors and Affiliations

  1. The Research Center for Polyposis and Intestinal Diseases, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113, Tokyo, Japan

    Takeo Iwama MD

  2. The Second Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113, Tokyo, Japan

    Tetsurou Higuchi, Mahito Imajo & Yoshio Mishima

  3. The First Department of Internal Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113, Tokyo, Japan

    Shinobu Akagawa

  4. The Department of Pathology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113, Tokyo, Japan

    Osamu Matsubara

Authors
  1. Takeo Iwama MD
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  2. Tetsurou Higuchi
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  3. Mahito Imajo
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  4. Shinobu Akagawa
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  5. Osamu Matsubara
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  6. Yoshio Mishima
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Iwama, T., Higuchi, T., Imajo, M. et al. Tracheo-bronchitis as a complication of Crohn's disease —A case report—. The Japanese Journal of Surgery 21, 454–457 (1991). https://doi.org/10.1007/BF02470975

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  • DOI: https://doi.org/10.1007/BF02470975

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