title: Tracheobronchitis with dyspnea in a patient with ulcerative colitis.
abstract: We herein report the case of a 42-year-old man with a one-year history of ulcerative colitis who presented with exacerbated bloody diarrhea, a productive cough and increasing breathing difficulties. Colonoscopy revealed typical deep ulcers in the rectosigmoid colon and atypical multiple sucker-like ulcers in the transverse colon, and computed tomography of the chest demonstrated wall thickening of the trachea and bronchi. In addition, bronchoscopy showed ulcers in the trachea, and histopathology disclosed findings of necrosis and inflammation of the subepithelial tissue of the trachea. Based on these findings, the patient's respiratory symptoms were strongly suspected to be due to ulcerative colitis-related tracheobronchitis. Treatment with systemic corticosteroids subsequently resulted in a rapid clinical improvement.
authors.affiliation: Department of Surgery, Tokyo Metropolitan Bokutoh Hospital; 2.Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Hiyoshi
authors.forename: Kazushige
authors.initials: K
authors.lastname: Kawai
authors.forename: Mihoko
authors.initials: M
authors.lastname: Shibuya
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ozawa
authors.forename: Junko
authors.initials: J
authors.lastname: Kishikawa
authors.forename: Takako
authors.initials: T
authors.lastname: Nirei
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Tanaka
authors.forename: Junichiro
authors.initials: J
authors.lastname: Tanaka
authors.forename: Tomomichi
authors.initials: T
authors.lastname: Kiyomatsu
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Tada
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Kanazawa
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Kazama
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Shoda
authors.forename: Shuji
authors.initials: S
authors.lastname: Sumitomo
authors.forename: Kanae
authors.initials: K
authors.lastname: Kubo
authors.forename: Hironori
authors.initials: H
authors.lastname: Yamaguchi
authors.forename: Soichiro
authors.initials: S
authors.lastname: Ishihara
authors.forename: Eiji
authors.initials: E
authors.lastname: Sunami
authors.forename: Joji
authors.initials: J
authors.lastname: Kitayama
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Watanabe
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001980:Bronchi / Q000473:pathology; D001991:Bronchitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D001999:Bronchoscopy; D003093:Colitis, Ulcerative / Q000150:complications* / Q000175:diagnosis*; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012141:Respiratory Tract Infections / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000473:pathology; D014136:Tracheitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones