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Pulmonary Involvement in Crohn’s Disease: A Rare Case Report
Crohn’s disease (CD) is a granulomatous inflammatory disease that can involve any part of the gastrointestinal tract, from mouth to anus. In most cases, it remits and relapses in the terminal ileum, requiring treatment via steroid boluses. In rare cases, however, CD can involve the pulmonary system...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6065616/ https://www.ncbi.nlm.nih.gov/pubmed/30065903 http://dx.doi.org/10.7759/cureus.2710 |
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author | Sattar, Yasar Zubair, Zarafshan Patel, Nirav B Zafar, Faiqa S Hassan, Ali Tariq, Nargis Latchana, Sharaad Biswas, Sharmi Usman, Norina Lopez Pantoja, Stefany C |
author_facet | Sattar, Yasar Zubair, Zarafshan Patel, Nirav B Zafar, Faiqa S Hassan, Ali Tariq, Nargis Latchana, Sharaad Biswas, Sharmi Usman, Norina Lopez Pantoja, Stefany C |
author_sort | Sattar, Yasar |
collection | PubMed |
description | Crohn’s disease (CD) is a granulomatous inflammatory disease that can involve any part of the gastrointestinal tract, from mouth to anus. In most cases, it remits and relapses in the terminal ileum, requiring treatment via steroid boluses. In rare cases, however, CD can involve the pulmonary system presenting as dyspnea on exertion and dry cough. We present a case of a 38-year-old man who developed shortness of breath, cough, and wheezing for one month after a colectomy procedure due to recurrent toxic megacolon. He recovered and tolerated extubation successfully and was prescribed mesalamine as maintenance therapy for CD. His pulmonary symptoms after the colectomy, along with his imaging and pulmonary function tests, indicated pulmonary involvement in the lungs as a progression of the primary inflammatory bowel disease. After confirming this diagnosis, he was treated with oral high-dose steroids after successful diagnosis, and the patient’s symptoms improved dramatically. This case highlights often overlooked CD bronchopulmonary involvement in the postoperative period. |
format | Online Article Text |
id | pubmed-6065616 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-60656162018-07-31 Pulmonary Involvement in Crohn’s Disease: A Rare Case Report Sattar, Yasar Zubair, Zarafshan Patel, Nirav B Zafar, Faiqa S Hassan, Ali Tariq, Nargis Latchana, Sharaad Biswas, Sharmi Usman, Norina Lopez Pantoja, Stefany C Cureus Internal Medicine Crohn’s disease (CD) is a granulomatous inflammatory disease that can involve any part of the gastrointestinal tract, from mouth to anus. In most cases, it remits and relapses in the terminal ileum, requiring treatment via steroid boluses. In rare cases, however, CD can involve the pulmonary system presenting as dyspnea on exertion and dry cough. We present a case of a 38-year-old man who developed shortness of breath, cough, and wheezing for one month after a colectomy procedure due to recurrent toxic megacolon. He recovered and tolerated extubation successfully and was prescribed mesalamine as maintenance therapy for CD. His pulmonary symptoms after the colectomy, along with his imaging and pulmonary function tests, indicated pulmonary involvement in the lungs as a progression of the primary inflammatory bowel disease. After confirming this diagnosis, he was treated with oral high-dose steroids after successful diagnosis, and the patient’s symptoms improved dramatically. This case highlights often overlooked CD bronchopulmonary involvement in the postoperative period. Cureus 2018-05-30 /pmc/articles/PMC6065616/ /pubmed/30065903 http://dx.doi.org/10.7759/cureus.2710 Text en Copyright © 2018, Sattar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Sattar, Yasar Zubair, Zarafshan Patel, Nirav B Zafar, Faiqa S Hassan, Ali Tariq, Nargis Latchana, Sharaad Biswas, Sharmi Usman, Norina Lopez Pantoja, Stefany C Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title | Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title_full | Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title_fullStr | Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title_full_unstemmed | Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title_short | Pulmonary Involvement in Crohn’s Disease: A Rare Case Report |
title_sort | pulmonary involvement in crohn’s disease: a rare case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6065616/ https://www.ncbi.nlm.nih.gov/pubmed/30065903 http://dx.doi.org/10.7759/cureus.2710 |
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