Stridor in a 47-Year-Old Man With Inflammatory Bowel Disease

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Presentation transcript:

Stridor in a 47-Year-Old Man With Inflammatory Bowel Disease Janssen William J. , MD, Bierig Lyssa N. , MD, Beuther David A. , MD, Miller York E. , MD CHEST Volume 129, Issue 4, Pages 1100-1106 (April 2006) DOI: 10.1378/chest.129.4.1100 Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 1 Anteroposterior chest radiograph. There is diffuse narrowing of the trachea. The lung fields are clear, and the cardiac border is normal. CHEST 2006 129, 1100-1106DOI: (10.1378/chest.129.4.1100) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 2 Flow-volume loop on hospital day 1. The flow volume-loop demonstrates flattening of the inspiratory and expiratory limbs. CHEST 2006 129, 1100-1106DOI: (10.1378/chest.129.4.1100) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 3 View of the trachea during fiberoptic bronchoscopy. The trachea has concentric narrowing, with diffuse mucosal studding and a cobblestone appearance. The narrowing extends to the bronchi. CHEST 2006 129, 1100-1106DOI: (10.1378/chest.129.4.1100) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 4 Photomicrograph of endotracheal biopsy specimen. Hematoxylin-eosin stains reveal squamous and glandular mucosa with intense infiltration of inflammatory cells and subepithelial necrosis. No granulomas are present. (Magnification 20×) CHEST 2006 129, 1100-1106DOI: (10.1378/chest.129.4.1100) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 5 Flow-volume loop on day 10. Following treatment with corticosteroids, the flow-volume loop quickly returned to normal. Dashed line represents flow-volume loop prior to treatment. CHEST 2006 129, 1100-1106DOI: (10.1378/chest.129.4.1100) Copyright © 2006 The American College of Chest Physicians Terms and Conditions