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[Bronchiectasis in a patient with ulcerative colitis].

M R Charfi1, M H Dougui, N Bazar Bazar

  • 1Unité de Pneumologie, Hôpital des Forces de Sécurité Interieure, La Marsa, Tunisie.

Revue Des Maladies Respiratoires
|December 28, 1999
PubMed
Summary

Bronchopulmonary involvement is rare in ulcerative colitis (UC). This case highlights bronchiectasis as a potential manifestation of UC, improving with inhaled corticosteroids.

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Area of Science:

  • Pulmonology
  • Gastroenterology
  • Internal Medicine

Background:

  • Ulcerative colitis (UC) is a chronic inflammatory bowel disease primarily affecting the colon.
  • Bronchopulmonary involvement is an uncommon extraintestinal manifestation of UC.
  • Bronchiectasis, a condition characterized by irreversible airway dilation, is rarely associated with UC.

Observation:

  • A 65-year-old patient with a history of ulcerative colitis was diagnosed with bronchiectasis.
  • The patient had no prior history of pulmonary disease.
  • Bronchiectasis developed years after the onset of ulcerative colitis.

Findings:

  • The temporal relationship between the onset of ulcerative colitis and the diagnosis of bronchiectasis was established.
  • Improvement in bronchiectasis symptoms was observed following treatment with inhaled corticosteroids.

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  • These findings suggest a potential link between ulcerative colitis and the development of bronchiectasis.

    • Implications:

    • This case underscores the importance of considering respiratory evaluations in patients with ulcerative colitis, even in the absence of concurrent pulmonary symptoms.
    • The findings suggest that inhaled corticosteroids may be an effective treatment modality for bronchiectasis associated with ulcerative colitis.
    • Further research is warranted to elucidate the underlying mechanisms connecting ulcerative colitis and bronchiectasis.