Severe bilateral bronchial stenosis with acute respiratory failure from granulomatosis with polyangiitis

We report a 48‐year‐old female patient hospitalized with dyspnoea, wheezing, and respiratory failure due to bilateral main bronchial stenosis from granulomatosis with polyangiitis (GPA) involvement. By computed tomography imaging and flexible bronchoscopy, we measured the narrowest diameter at 2 mm....

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Detalles Bibliográficos
Autores principales: Tajarernmuang, Pattraporn, Limsukon, Atikun, Liwsrisakun, Chalerm, Wannasopha, Yutthaphan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2016
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167307/
https://www.ncbi.nlm.nih.gov/pubmed/28031825
http://dx.doi.org/10.1002/rcr2.189
Descripción
Sumario:We report a 48‐year‐old female patient hospitalized with dyspnoea, wheezing, and respiratory failure due to bilateral main bronchial stenosis from granulomatosis with polyangiitis (GPA) involvement. By computed tomography imaging and flexible bronchoscopy, we measured the narrowest diameter at 2 mm. The patient promptly recovered from respiratory failure after treatment with flexible bronchoscopic balloon dilatation (BBD) without any procedure‐related adverse event. This report showed the benefits of urgent flexible BBD that was used as a rescue therapy in a GPA patient who presented life‐threatening acute respiratory failure from severe bilateral bronchial stenosis.

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