title: 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.
authors.affiliation: Department of Chest Diseases, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Kirbaş
authors.forename: Canan Eren
authors.initials: CE
authors.lastname: Dağli
authors.forename: Abdullah Cetin
authors.initials: AC
authors.lastname: Tanrikulu
authors.forename: Fetin
authors.initials: F
authors.lastname: Yildiz
authors.forename: Yaşar
authors.initials: Y
authors.lastname: Bükte
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Senyiğit
authors.forename: Esen
authors.initials: E
authors.lastname: Kiyan
mesh_terms: D000686:Amyloidosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D001249:Asthma / Q000175:diagnosis; D001982:Bronchial Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014133:Tracheal Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging