Tracheobronchitis with Dyspnea in a Patient with Ulcerative Colitis

Masaya Hiyoshi; Kazushige Kawai; Mihoko Shibuya; Tsuyoshi Ozawa; Junko Kishikawa; Takako Nirei; Toshiaki Tanaka; Junichiro Tanaka; Tomomichi Kiyomatsu; Tomohiro Tada; Takamitsu Kanazawa; Shinsuke Kazama; Hirofumi Shoda; Shuji Sumitomo; Kanae Kubo; Hironori Yamaguchi; Soichiro Ishihara; Eiji Sunami; Joji Kitayama; Kazuhiko Yamamoto; Toshiaki Watanabe

doi:10.2169/internalmedicine.54.3142

CASE REPORTS

Tracheobronchitis with Dyspnea in a Patient with Ulcerative Colitis

Masaya Hiyoshi, Kazushige Kawai, Mihoko Shibuya, Tsuyoshi Ozawa, Junko Kishikawa, Takako Nirei, Toshiaki Tanaka, Junichiro Tanaka, Tomomichi Kiyomatsu, Tomohiro Tada, Takamitsu Kanazawa, Shinsuke Kazama, Hirofumi Shoda, Shuji Sumitomo, Kanae Kubo, Hironori Yamaguchi, Soichiro Ishihara, Eiji Sunami, Joji Kitayama, Kazuhiko Yamamoto, Toshiaki Watanabe

Author information

Masaya Hiyoshi
Department of Surgery, Tokyo Metropolitan Bokutoh Hospital, Japan
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Kazushige Kawai
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Mihoko Shibuya
Department of Allergy and Rheumatology, Faculty of Medical Sciences, the University of Tokyo, Japan
Tsuyoshi Ozawa
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Junko Kishikawa
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Takako Nirei
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Toshiaki Tanaka
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Junichiro Tanaka
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Tomomichi Kiyomatsu
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Tomohiro Tada
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Takamitsu Kanazawa
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Shinsuke Kazama
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Hirofumi Shoda
Department of Allergy and Rheumatology, Faculty of Medical Sciences, the University of Tokyo, Japan
Shuji Sumitomo
Department of Allergy and Rheumatology, Faculty of Medical Sciences, the University of Tokyo, Japan
Kanae Kubo
Department of Allergy and Rheumatology, Faculty of Medical Sciences, the University of Tokyo, Japan
Hironori Yamaguchi
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Soichiro Ishihara
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Eiji Sunami
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Joji Kitayama
Department of Surgical Oncology, Faculty of Medical Sciences, the University of Tokyo, Japan
Kazuhiko Yamamoto
Department of Allergy and Rheumatology, Faculty of Medical Sciences, the University of Tokyo, Japan
Toshiaki Watanabe
Department of Surgery, Tokyo Metropolitan Bokutoh Hospital, Japan

Keywords: ulcerative colitis, tracheobronchitis, inflammatory bowel disease, extraintestinal manifestations

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 7 Pages 749-753

DOI https://doi.org/10.2169/internalmedicine.54.3142

Details

Abstract

We herein report the case of a 42-year-old man with a one-year history of ulcerative colitis who presented with exacerbated bloody diarrhea, a productive cough and increasing breathing difficulties. Colonoscopy revealed typical deep ulcers in the rectosigmoid colon and atypical multiple sucker-like ulcers in the transverse colon, and computed tomography of the chest demonstrated wall thickening of the trachea and bronchi. In addition, bronchoscopy showed ulcers in the trachea, and histopathology disclosed findings of necrosis and inflammation of the subepithelial tissue of the trachea. Based on these findings, the patient's respiratory symptoms were strongly suspected to be due to ulcerative colitis-related tracheobronchitis. Treatment with systemic corticosteroids subsequently resulted in a rapid clinical improvement.

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