Image in medicine
Osteochondroplastic tracheobronchopathy
Traqueobroncopatía osteocondroplástica
Jorge Rodríguez-Sanza,b,
, Olalla García Rodríguezc, David Guallar Garcíad, María Aguado Agudoa, Elisa Minchole Lapuentea
Corresponding author
a Servicio de Neumología, Hospital Universitario Miguel Servet, Zaragoza, Spain
b Instituto de Investigación Sanitaria de Aragón (IISA), Zaragoza, Spain
c Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Zaragoza, Spain
d Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Traqueobroncopatía osteocondroplástica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 645 "Ancho" => 805 "Tamanyo" => 85222 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 78-year-old patient undergoing follow-up by the Pneumology Department for a 16 year history of osteochondroplastic tracheobronchopathy. The patient’s respiratory status was stable, with mMRC grade II dyspnoea associated with mild chronic bronchitis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Images were obtained by flexible video bronchoscopy. Numerous protruding cartilaginous formations were observed in the trachea from the upper part well into the main bronchi.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Osteochondroplastic tracheobronchopathy is a rare entity of unknown aetiology. The image shows cartilaginous nodules in the submucosa projecting into the tracheal lumen, with calcification in some of them and with the posterior wall of the trachea intact.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Most patients are asymptomatic, and these findings occur incidentally. In some cases, they may show non-specific respiratory symptoms such as chronic cough, wheezing, dyspnoea, recurrent infections or haemoptysis. In the case of the imaged patient, he was asymptomatic, but his cultures showed several microbiological isolates, the last of which was <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> in sputum.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Diagnosis can be made by CT or bronchoscopy, directly visualising the lesions. If the findings are typical, histopathological confirmation is not necessary (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">There is no specific treatment, but removal by rigid bronchoscope or laser ablation may be indicated in severe cases.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez-Sanz J, García Rodríguez O, Guallar García D, Aguado Agudo M, Minchole Lapuente E. Traqueobroncopatía osteocondroplástica. 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