Acute respiratory failure due to tracheobronchial involvement in Crohn's disease.
We present a case of tracheobronchial involvement in Crohn's disease, associated with respiratory failure leading to mechanical ventilation. Bronchoscopy revealed small, diffuse, whitish granulations and erythematous mucosa. Histopathology disclosed ulcerative bronchitis and noncaseating tuberculoid granuloma. The patient improved under a 6 week oral corticosteroid treatment followed by inhaled corticotherapy, without relapse of pulmonary symptoms.
Service de Pneumologie et Immuno-Allergologie, C, Hôpital A. Calmette, Lille, France.
C
C
Lamblin
M C
MC
Copin
C
C
Billaut
R
R
Marti
V
V
Tacq
O
O
Riviere
B
B
Wallaert
D000208:Acute Disease; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001982:Bronchial Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D001999:Bronchoscopy; D003424:Crohn Disease / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy; D014133:Tracheal Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D014456:Ulcer / Q000473:pathology
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D008775:Methylprednisolone