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Year: 2012  Vol. 16   Num. Suppl. 1  - May
DOI: 10.7162/S1809-977720120S1PO-045
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OSTEOCONDROPLASTIC TRACHEOBRONCHOPATHY, AN IMPORTANT DISTINGUISHING DIAGNOSIS OF SUBGLOTTIC STRICTURE ASSOCIATE THE ATROPHIC RHINITIS
TRAQUEOBRONCOPATIA OSTEOCONDROPLÁSTICA, UM IMPORTANTE DIAGNÓSTICO DIFERENCIAL DE ESTENOSE SUBGLÓTICA ASSOCIADA A RINITE ATRÓFICA
Author(s):
Maria Helena de Magalhães Barbosa, Jaqueline Quintanilha de Moura, Fabiana Chagas da Cruz, Priscila Novaes, Shiro Tomita
Abstract:

The osteocondroplastic tracheobronchopathy is an idiopathic and benign rare disease, characterized for the appearance of submucous sessile nodules in the trachea, being able to extend to the initial regions of the bronchis, causing rigidity and nip of the tracheobronchial tree and simulating other disease that attend a course with subglottic attacked. CASE REPORT: Patient, masculine sex, 76 years, interned for decompression of congestive cardiac insufficiency, with complaint of dysphagia of transference have 1 month. The nasofibrolaryngoscopy evidenced fosses nasal ample, with atrophy of nasal shells and mucous re-covered for crusts that if extended until cavum, associated to the subglottic presence of stenosis. Ahead of the possibility of the diagnosis of granulomatosis disease, we opt to accomplishment of biopsy of nasal mucous and tracheoscopy. In this examination, the presence of multiple nodules was evaluated that if extended for the trachea until the carina, which had been biopsied. The nasal biopsy if showed inconclusive, but the biopsy of the tracheal nodules was compatible osteocondroplastic tracheobronchopathy. The patient follows in clinical accompaniment, in use of solution glycerinate for nasal laundering, with reduction of the nasal crusts and without new episodes of decompression. CONCLUSION: Its association with atrophic rhinitis when evaluating must be attempted against for this rare diagnostic and nasal patients with subglottic stenosis and alterations, which had the lack of specificity of clinical signals, simulating other disease of attacking of the respiratory treatment.

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