title: Tracheobronchitis in a patient with Crohn's disease.
abstract: A 19-year-old Japanese man who had been diagnosed with Crohn's disease (CD) suffered from dry cough and fever over 38 degrees C for three days prior to hospitalization. On admission, his colonic CD condition was stable, neither active nor in remission. Computed tomography of the chest showed small elevated tracheobronchial lesions. Bronchoscopy showed diffuse whitish granular lesions in the trachea and bronchi. The pathological findings in the biopsy showed inflammatory infiltration suggesting Crohn's tracheobronchitis. Thereafter, he was treated with inhaled Fluticasone propionate 400 microg/day. After one week his dry cough improved, and after two weeks bronchoscopic findings were improved.
authors.affiliation: Division of General Medicine, Clinical Department of Internal Medicine, Saitama Medical Center, Jichi Medical University, Saitama.
authors.forename: Takashi
authors.initials: T
authors.lastname: Asami
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Koyama
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Chihiro
authors.initials: C
authors.lastname: Miwa
authors.forename: Shinya
authors.initials: S
authors.lastname: Ushimaru
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nakashima
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Nokubi
mesh_terms: D001991:Bronchitis / Q000150:complications* / Q000175:diagnosis*; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D014136:Tracheitis / Q000150:complications* / Q000175:diagnosis*; D055815:Young Adult