Document Detail


Adult idiopathic subglottic stenosis: a diagnostic and therapeutic challenge.
MedLine Citation:
PMID:  15176709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 22-year-old woman presented with effort dyspnea unresponsive to bronchodilators. Harsh respiratory sounds were audible at the neck. Thoracic and cardiac evaluation was normal. Spirometry revealed an obstructive ventilatory defect, and the flow-volume loop indicated upper airway obstruction. Bronchoscopy and tracheal computed tomography revealed a stenosis of the subglottic larynx. A biopsy specimen of the stenotic area of the trachea showed a normal mucosa and non-specific chronic inflammation. The tracheal stenosis was managed by means of endobronchial laser therapy, which led to the resolution of the patient's symptoms. As we could not identify any specific pathogenetic process, our final diagnosis was idiopathic subglottic tracheal stenosis.
Authors:
Giovanni Garini; Luigi Fecci; Roberto Giacosa; Augusto Vaglio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annali italiani di medicina interna : organo ufficiale della Società italiana di medicina interna     Volume:  19     ISSN:  0393-9340     ISO Abbreviation:  Ann. Ital. Med. Int.     Publication Date:    2004 Jan-Mar
Date Detail:
Created Date:  2004-06-04     Completed Date:  2004-07-06     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8806705     Medline TA:  Ann Ital Med Int     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  54-7     Citation Subset:  IM    
Affiliation:
Dipartimento di Clinica Medica, Nefrologia e Scienze della Prevenzione, Università degli Studi di Parma. garini@unipr.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Bronchoscopy
Diagnosis, Differential
Dyspnea / etiology
Female
Heart Diseases / diagnosis
Humans
Laryngostenosis / complications,  diagnosis*,  surgery
Laser Therapy*
Lung Diseases / diagnosis
Physical Exertion
Respiratory Sounds / etiology
Spirometry
Tomography, X-Ray Computed
Tracheal Stenosis / complications,  diagnosis*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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