Author/Authors :
Thakur, Asmitananda Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Yang, Tian Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Chen, Tianjun Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Rana, Netra Xian Jiaotong University - First Affiliated Hospital - Department of Medical Imaging and Nuclear Medicine, China , Zhu, Bo Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Wei, Xiaohong Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Yang, Lan Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China , Zhang, Guanjun Xian Jiaotong University - First Affiliated Hospital - Department of Pathology, China , Zhang, Ming Xian Jiaotong University - First Affiliated Hospital - Department of Medical Imaging and Nuclear Medicine, China , Chen, Mingwei Xian Jiaotong University - First Affiliated Hospital - Department of Respiratory Medicine, China
Abstract :
Objective: To report an atypical presentation of tracheobronchopathia osteochondroplastica (TO). Clinical Presentation and Intervention: A 59-year-old man was investigated for productive cough of 1 month. An antimycobacterial combination regime was initiated with a misdiagnosis of endobronchial tuberculosis. At follow-up, the patient reported worsening of his symptoms. CT revealed an increased intensity of the cartilage ring surrounding the trachea, and bronchoscopy showed tracheal stenosis with white, hard nodules on the airway submucosa. Histopathology confirmed the diagnosis of TO. Conclusion: This case showed that TO should be considered in patients with cough not explained by noninvasive testing and not responsive to empiric medications.
Keywords :
Tracheobronchopathia osteochondroplastica , Airway inflammation , Bronchoscopy , Nodule , Ossification , Chronic cough