Chest
Selected ReportsUlcerative Tracheobronchitis Years After Colectomy for Ulcerative Colitis
Section snippets
CASE 1
A blacksmith and builder developed ulcerative colitis at age 28 years. He was treated with courses of salazopyrine and prednisolone until a polypoid adenocarcinoma was discovered at the age of 42 years and was removed by panproctocolectomy. Salazopyrin and prednisolone therapy was then stopped. At 44 years he developed a slight wheeze, and was treated intermittently with salbutamol, ipratropium bromide, and beclomethasone. He had not smoked since age 38 years. At 54 years he was referred with a
DISCUSSION
Ulcerative colitis is associated with disease of the airways and also of the lung parenchyma. When drug effects are excluded, bronchiectasis, bronchiolitis, and bronchitis2 account for nearly half of the reported cases. These have usually occurred at the same time as the ulcerative colitis but occasionally have preceded it or developed soon after colectomy. Severe tracheal inflammation has been described in only one previous case by Wilcox et al.1
Details of our two patients with severe
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Chest
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Les manifestations respiratoires de la rectocolite hemorragique
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Diffuse panbronchiolitis preceding ulcerative colitis
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The Spectrum of Airway Involvement in Inflammatory Bowel Disease
2022, Clinics in Chest MedicineCitation Excerpt :Airway stenosis can be visualized on CT14,111,126 (Fig. 7B) or magnetic resonance imaging (MRI).107 Changes on endoscopy include7,53,106,107,110,111 swelling of the vocal cords glottis and/or subglottic region, scattered nodules on the airway surface and ulceration,100 erythema, blistering edema, velvety friable burgeoning mucosa effacing the tracheal cartilaginous rings, and distorting airway anatomy to a point where the pediatric endoscope may not even be able to cross the narrowest passage without causing immediate suffocation (Fig. 7A).109 Yellowish rather than greenish, sometimes blood-tinged, secretions are described12 and can be triggered by strenuous exercise.
Thoracic Manifestations of Ankylosing Spondylitis, Inflammatory Bowel Disease, and Relapsing Polychondritis
2019, Clinics in Chest MedicineCitation Excerpt :Granulomatous airway inflammation can be seen in CD. Patients can develop symptoms of airway disease even after colectomy.52 Bronchiolitis also can occur with IBD-related lung disease.
Tracheitis – A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children
2016, GE Portuguese Journal of GastroenterologyA rare extraintestinal manifestation of ulcerative colitis: Tracheobronchitis associated with ulcerative colitis
2010, Journal of Crohn's and ColitisCitation Excerpt :Within these manifestations, subglottic–glottic stenosis, tracheal inflammation, bronchiectasis, chronic bronchitis and BOOP are relatively common ones.5 Tracheal involvement is uncommon and is reported as case reports in 14 previous cases.6–15 Tracheitis can develop at any time during the disease course and usually follow the onset of bowel disease.1,9
Pulmonary complications of inflammatory bowel disease: focus on management issues
2009, Techniques in Gastrointestinal EndoscopyCitation Excerpt :Other large airway manifestations in IBD include chronic bronchitis, inflammatory airway stenoses (Figs. 4 and 5), and suppurative large airways disease without bronchiectasis.2,4,17,19,21,23,79-86 Involvement of the upper airway—the portion of the respiratory tract that extends from the nares and mouth to and including the larynx and trachea—is rare in IBD and has been reported in just a handful of cases.2,4,17,21,22,87-100 It has been more frequently described in patients with UC than CD.4