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Chronic cough associated with Crohn's disease
Shoaib Faruqi1, Ged Avery, Alyn H Morice
1Department of Respiratory Medicine, Castle Hill Hospital, Castle Road, Cottingham, HU16 5JQ, UK. sfaruqi@doctors.net.uk.
Cough (London, England)
|August 10, 2010
Summary
Crohn's disease can affect the lungs, causing airway stenosis and consolidation. This case highlights the importance of considering Crohn's disease in patients with unusual lung findings, especially when treated successfully with corticosteroids.
Area of Science:
- Pulmonology
- Gastroenterology
- Radiology
Background:
- Crohn's disease is a chronic inflammatory bowel disease.
- Pulmonary manifestations of Crohn's disease are uncommon.
- This case presents a rare radiological presentation of Crohn's disease involving the lungs.
Purpose of the Study:
- To report an uncommon association between Crohn's disease and specific lung findings.
- To illustrate the radiological features of pulmonary Crohn's disease.
- To highlight the response to corticosteroid therapy.
Main Methods:
- Case presentation of a 62-year-old man with chronic dry cough.
- Review of chest radiograph findings.
- High-resolution computed tomography (HRCT) of the chest to assess airway and lung parenchyma.
- Correlation of radiological findings with clinical history and response to treatment.
Main Results:
- Chest radiograph showed bilateral apical infiltrates.
- HRCT revealed stenosis of medium-sized airways with post-stenotic dilation and fluid-filled peripheral bronchi.
- Patchy areas of consolidation were observed.
- Radiological changes responded well to corticosteroid treatment.
Conclusions:
- Pulmonary involvement in Crohn's disease can manifest with airway stenosis and consolidation.
- Radiological findings can mimic other lung diseases, necessitating clinical correlation.
- Corticosteroid therapy can be effective in managing pulmonary manifestations of Crohn's disease.
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