Tracheal Involvement in Crohn Disease: the First Case in Korea

Respiratory involvement in Crohn disease (CD) is rare condition with only about a dozen reported cases. We report the first case of CD with tracheal involvement in Korea. An 18-year-old woman with CD was hospitalized because of coughing, dyspnea, and fever sustained for 3 weeks. Because she had stri...

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Main Authors: Seunghyun Park, Jongha Park, Hyun-Kuk Kim, Ji Yeon Kim, So Chong Hur, Ju Hyung Lee, Jae Won Jung, Juwon Lee
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2016-03-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2015-059.pdf
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author Seunghyun Park
Jongha Park
Hyun-Kuk Kim
Ji Yeon Kim
So Chong Hur
Ju Hyung Lee
Jae Won Jung
Juwon Lee
author_facet Seunghyun Park
Jongha Park
Hyun-Kuk Kim
Ji Yeon Kim
So Chong Hur
Ju Hyung Lee
Jae Won Jung
Juwon Lee
author_sort Seunghyun Park
collection DOAJ
description Respiratory involvement in Crohn disease (CD) is rare condition with only about a dozen reported cases. We report the first case of CD with tracheal involvement in Korea. An 18-year-old woman with CD was hospitalized because of coughing, dyspnea, and fever sustained for 3 weeks. Because she had stridor in her neck, we performed computed tomography of the neck, which showed circumferential wall thickening of the larynx and hypopharynx. Bronchoscopy revealed mucosal irregularity, ulceration, and exudates debris in the proximal trachea, and bronchial biopsy revealed chronic inflammation with granulation tissue. Based on these findings, we suspected CD with tracheal involvement and began administering intravenous methylprednisolone at 1 mg/kg per day, after which her symptoms and bronchoscopic findings improved.
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spelling doaj.art-638c4e03ed6f4543a45982cd0577ad922023-11-02T05:34:14ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-03-0149220220610.5946/ce.2015.0596835Tracheal Involvement in Crohn Disease: the First Case in KoreaSeunghyun Park0Jongha Park1Hyun-Kuk Kim2Ji Yeon Kim3So Chong Hur4Ju Hyung Lee5Jae Won Jung6Juwon Lee7 Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Pulmonology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Department of Pathology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Division of Gastroenterology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaRespiratory involvement in Crohn disease (CD) is rare condition with only about a dozen reported cases. We report the first case of CD with tracheal involvement in Korea. An 18-year-old woman with CD was hospitalized because of coughing, dyspnea, and fever sustained for 3 weeks. Because she had stridor in her neck, we performed computed tomography of the neck, which showed circumferential wall thickening of the larynx and hypopharynx. Bronchoscopy revealed mucosal irregularity, ulceration, and exudates debris in the proximal trachea, and bronchial biopsy revealed chronic inflammation with granulation tissue. Based on these findings, we suspected CD with tracheal involvement and began administering intravenous methylprednisolone at 1 mg/kg per day, after which her symptoms and bronchoscopic findings improved.http://www.e-ce.org/upload/pdf/ce-2015-059.pdfCrohn diseaseInflammatory bowel diseasesTracheobronchial involvement
spellingShingle Seunghyun Park
Jongha Park
Hyun-Kuk Kim
Ji Yeon Kim
So Chong Hur
Ju Hyung Lee
Jae Won Jung
Juwon Lee
Tracheal Involvement in Crohn Disease: the First Case in Korea
Clinical Endoscopy
Crohn disease
Inflammatory bowel diseases
Tracheobronchial involvement
title Tracheal Involvement in Crohn Disease: the First Case in Korea
title_full Tracheal Involvement in Crohn Disease: the First Case in Korea
title_fullStr Tracheal Involvement in Crohn Disease: the First Case in Korea
title_full_unstemmed Tracheal Involvement in Crohn Disease: the First Case in Korea
title_short Tracheal Involvement in Crohn Disease: the First Case in Korea
title_sort tracheal involvement in crohn disease the first case in korea
topic Crohn disease
Inflammatory bowel diseases
Tracheobronchial involvement
url http://www.e-ce.org/upload/pdf/ce-2015-059.pdf
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