TY - JOUR
T1 - Severe endobronchial obstruction in a girl with relapsing polychondritis
T2 - Treatment with Nd YAG laser and endobronchial silicon stent
AU - Sacco, O.
AU - Fregonese, B.
AU - Oddone, M.
AU - Verna, A.
AU - Tassara, E.
AU - Mereu, C.
AU - Rossi, G. A.
PY - 1997/2
Y1 - 1997/2
N2 - Relapsing polychondritis (RP) is an uncommon disorder of unknown aetiology characterized by inflammation and destruction of the cartilaginous structures of many organs, including the tracheobronchial tree. When untreated, there is a high mortality rate, usually from respiratory obstructive complications. An 8 year old white girl, with a previous diagnosis of RP, was referred to our department for evaluation of worsening dyspnoea. Bronchoscopy showed localized inflammatory and fibrotic alterations of the mucosa, leading to severe obstruction of the left mainstem bronchus at its origin. The condition was successfully treated by endoscopic neodymium yttrium aluminium garnet (Nd YAG) laser. Re-evaluation of the patient, 7 months later, demonstrated bronchial stenosis and malacia requiring mechanical dilatation and positioning of an endobronchial silicon stent, which was well-tolerated by the patient.
AB - Relapsing polychondritis (RP) is an uncommon disorder of unknown aetiology characterized by inflammation and destruction of the cartilaginous structures of many organs, including the tracheobronchial tree. When untreated, there is a high mortality rate, usually from respiratory obstructive complications. An 8 year old white girl, with a previous diagnosis of RP, was referred to our department for evaluation of worsening dyspnoea. Bronchoscopy showed localized inflammatory and fibrotic alterations of the mucosa, leading to severe obstruction of the left mainstem bronchus at its origin. The condition was successfully treated by endoscopic neodymium yttrium aluminium garnet (Nd YAG) laser. Re-evaluation of the patient, 7 months later, demonstrated bronchial stenosis and malacia requiring mechanical dilatation and positioning of an endobronchial silicon stent, which was well-tolerated by the patient.
KW - atelectasis
KW - laser therapy
KW - relapsing polychondritis
KW - silicon stent
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U2 - 10.1183/09031936.97.10020494
DO - 10.1183/09031936.97.10020494
M3 - Article
C2 - 9042655
AN - SCOPUS:0031058519
VL - 10
SP - 494
EP - 496
JO - European Journal of Respiratory Diseases
JF - European Journal of Respiratory Diseases
SN - 0903-1936
IS - 2
ER -