Trakeabronşial amiloidoz olgusu

Abstract

Amiloidoz β-kıvrımlı tabakalar ve otolog amiloid fibrin protein malzemesinin anormal hücre dışı çökeltmesi ile karakterize sistemik bir hastalıktır. Solunum yolu tutulumu primer amiloidozda nadir görülür. Solunum yolu primer amiloidoz trakeobronşial amiloidoz olarak isimlendirilir. Hastamızı bu ön tanı aklımızda bulunması amaçlı sunmak istedik. Hastamız 55 yaşında bayan. 10 yıldır nefes darlığı ve öksürük şikayetleri ile değişik göğüs hastalıkları servislerinde değerlendirilmiş ve nonspesifik tedavilerle takip edilmiş. İlerleyici nefes darlığı, son zamanlarda artan öksürük şikayetleri ile değerlendirildi. toraks tomografisinde parankimal değişiklikler ve Pozitron Emisyon Tomografiside FDG tutulumu olan peribronşial lezyonlar mevcuttu. Bronkoskopisinde trakeabronşial yolları tama yakın tıkayan lezyon tespit edildi. Histopatolojisi Amiloidoz olarak raporlandı. Trakeabronşial amiloidoz az rastlanan, multimodal tedavi yöntemleri ile yüz güldürücü bir tedavisi olan bir hastalıktır olması nedeniyle sunmak istedik.

Keywords

• Trakeobronşial amiloidoz, bronkoskopi, toraks tomografisi

A case of tracheobronchial amyloidosis

Abstract

Amyloidosis is a systemic disease characterized by extensive accumulation of poorly soluble autologous fibrous proteins in the extracellular space of various organs. Respiratory tract involvement is rarely seen in primary amyloidosis. Respiratory primary amyloidosis is named as tracheobronchial amyloidosis. We want to offer our patients that we have in mind the purpose of this preliminary diagnosis. repeatedly in the last 10 years with the same complaints. She was performed nonspecific therapies and followed up. Progressive dyspnea and coughing forced us to see a computerized tomography of thorax. Images revealed parenchymal changes. In Positron Emission Tomography peribroncial lesions with high FDG uptake were detected. We determined an obliterative lesion in bronchoscopic examination which is almost fully obstructing the tracheobronchial tree. Pathologic evaluation was reported as amyloidosis. We wanted to share a tracheobronchial amyloidosis case while this is a rare but curable entity with satisfactory results by multimodal treatment strategies.

Keywords

• Tracheobronchial amyloidosis, bronchoscopy, computed tomography

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