Unusual combination of tracheobronchopathia osteochondroplastica and AA amyloidosis.

Abstract:

:Tracheobronchopathia osteochondroplastica (TO) is a rare disorder of unknown cause characterized by the presence of multiple submucosal osseous and/or cartilaginous nodules that protrude into the lumen of the trachea and large bronchi. A simultaneous diagnosis of TO and amyloidosis is rarely reported. In this report, a case initially suspected to be asthma bronchiole that could not be treated, was radiologically diagnosed as TO, and also secondary amyloidosis is presented. A 53 years, man patient reported a 3 years history of dyspnea. Pulmonary function tests (PFTs) showed an obstructive pattern. Chest X-rays revealed right middle lobe atelectasis. FOB and CT detected nodular lesions in the trachea and in the anterior and lateral walls of the main bronchi. AA amyloidosis was confirmed by endobronchial biopsy. In the abdominal fat pad biopsy, amyloidosis was not detected. Asthma bronchiole was excluded by PFTs. This case illustrates that it is possible for TO and amyloidosis to masquerade as asthma. TO and amyloidosis should be suspected in patients of older ages with asthma and especially with poorly treated asthmatic patients. Although nodular lesions in the anterior and lateral tracheobronchial walls are typical for TO, a biopsy should be obtained to exclude amyloidosis.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Kirbaş G,Dağli CE,Tanrikulu AC,Yildiz F,Bükte Y,Senyiğit A,Kiyan E

doi

10.3349/ymj.2009.50.5.721

subject

Has Abstract

pub_date

2009-10-31 00:00:00

pages

721-4

issue

5

eissn

0513-5796

issn

1976-2437

journal_volume

50

pub_type

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