Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis

Bronchial anthracofibrosis has been defined as airway narrowing associated with dark pigmentation on bronchoscopy without an appropriate history of pneumoconiosis or smoking. We present a case of a 67-year-old, non-smoking female patient who was referred to our clinic for two years of persistent cou...

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Main Authors: Ugur Gonlugur, Tanseli Gonlugur, Sule Ozer
Format: Article
Language:English
Published: Vilnius University Press 2020-12-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.journals.vu.lt/AML/article/view/21916
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author Ugur Gonlugur
Tanseli Gonlugur
Sule Ozer
author_facet Ugur Gonlugur
Tanseli Gonlugur
Sule Ozer
author_sort Ugur Gonlugur
collection DOAJ
description Bronchial anthracofibrosis has been defined as airway narrowing associated with dark pigmentation on bronchoscopy without an appropriate history of pneumoconiosis or smoking. We present a case of a 67-year-old, non-smoking female patient who was referred to our clinic for two years of persistent cough. Spirometry was within normal limits. Radiological evaluation showed right middle lobe atelectasis and positron emission tomography-positive mediastinal lymph nodes. Bronchoscopy revealed black airway discoloration and distortions. In conclusion, we propose monthly radiological controls before an invasive procedure in such cases if a strong suspicion of malignancy/tuberculosis is not present.
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spelling doaj.art-3732e197419a42818e313c75249237b62022-12-21T23:41:16ZengVilnius University PressActa Medica Lituanica1392-01382029-41742020-12-0127210.15388/Amed.2020.27.2.8Middle Lobe Syndrome Associated with Bronchial AnthracofibrosisUgur Gonlugur0Tanseli Gonlugur1Sule Ozer2Canakkale Onsekiz Mart University, TurkeyCanakkale City Hospital, TurkeyCanakkale Onsekiz Mart University, TurkeyBronchial anthracofibrosis has been defined as airway narrowing associated with dark pigmentation on bronchoscopy without an appropriate history of pneumoconiosis or smoking. We present a case of a 67-year-old, non-smoking female patient who was referred to our clinic for two years of persistent cough. Spirometry was within normal limits. Radiological evaluation showed right middle lobe atelectasis and positron emission tomography-positive mediastinal lymph nodes. Bronchoscopy revealed black airway discoloration and distortions. In conclusion, we propose monthly radiological controls before an invasive procedure in such cases if a strong suspicion of malignancy/tuberculosis is not present.https://www.journals.vu.lt/AML/article/view/21916Bronchial diseasesPigmentationAnthracosis
spellingShingle Ugur Gonlugur
Tanseli Gonlugur
Sule Ozer
Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
Acta Medica Lituanica
Bronchial diseases
Pigmentation
Anthracosis
title Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
title_full Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
title_fullStr Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
title_full_unstemmed Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
title_short Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis
title_sort middle lobe syndrome associated with bronchial anthracofibrosis
topic Bronchial diseases
Pigmentation
Anthracosis
url https://www.journals.vu.lt/AML/article/view/21916
work_keys_str_mv AT ugurgonlugur middlelobesyndromeassociatedwithbronchialanthracofibrosis
AT tanseligonlugur middlelobesyndromeassociatedwithbronchialanthracofibrosis
AT suleozer middlelobesyndromeassociatedwithbronchialanthracofibrosis