炎症性肠病对上呼吸道的影响。2例描述

A. Elorza , I. Rodríguez-Lago , P. Gisasola , I. Gochi , A. Bernal , J.L. Cabriada
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引用次数: 0

摘要

炎症性肠病是一种主要影响胃肠道的慢性疾病。肠外表现是常见的,可以影响任何器官,但那些影响呼吸道是罕见的。在这些病例中,下呼吸道容易受到影响,通常伴有支气管扩张和慢性支气管炎。它更常被描述为溃疡性结肠炎患者。我们在此报告两例在我院治疗的炎症性肠病伴上呼吸道受累的病例。两例患者均接受全身皮质治疗并行气管切开术。第一个病例表现为声门下狭窄,需要Foley导管扩张。我们对这些表现的主要特征的现有证据进行了回顾,并根据现有的病例系列进行了诊断和治疗。
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Afectación de la vía aérea alta en enfermedad inflamatoria intestinal. Descripción de 2 casos

Inflammatory bowel disease is a chronic disease that primarily affects the gastrointestinal tract. Extraintestinal manifestations are frequent and can affect any organ, but those that affect the respiratory tract are uncommon. In these cases, the lower respiratory tract tends to be affected, usually with bronchiectasis and chronic bronchitis. It has been more often described in patients with ulcerative colitis.

We herein report the cases of two patients with inflammatory bowel disease with upper respiratory tract involvement treated in our hospital. Both cases were treated with systemic corticotherapy and required a tracheostomy. The first case presented with subglottic stenosis requiring dilation with a Foley catheter. We have conducted a review on the evidence available of the main characteristics of these manifestations, as well as its diagnosis and treatment according to the available case series.

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