Trakeobronkopatia Osteokondroplastika:  �ki Olgu Nedeniyle

Baha, Ay�e; K�rl�, Tu�ba; K�kt�rk, Nurdan; T�rkta�, Haluk

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Trakeobronkopatia Osteokondroplastika: �ki Olgu Nedeniyle [Respir Case Rep]

Respir Case Rep. 2014; 3(1): 1-5 | DOI: 10.5505/respircase.2014.08370

Trakeobronkopatia Osteokondroplastika: �ki Olgu Nedeniyle

Ay�e Baha, Tu�ba K�rl�, Nurdan K�kt�rk, Haluk T�rkta�
Gazi �niversitesi T�p Fak�ltesi G��s Hastal�klar� Anabilim Dal�,ankara

Trakeobronkopatia Osteokondroplastika (TO) trakea ve bron� submukozas�nda kemik ve k�k�rdak nod�llerin varl�� ile karakterize, nadir g�r�len, benign bir durumdur. Hastal�k daha �ok 50 ya� �zeri erkeklerde g�r�l�r ve �o�u zaman asemptomatiktir. Baz� olgularda s�k tekrarlayan enfeksiyonlar g�r�lebilirken baz� olgularda bron�ial a��r� duyarl�l�k veya hemoptizi izlenebilir. Bu olgu sunumunda TO te�hisi koyulan iki hastan�n fiberoptik bronkoskopik (FOB), klinik ve radyolojik �zellikleri tart��lm��t�r. Yirmi ya��nda kad�n olgu, 2,5 y�ld�r olan kuru �ks�r�k �ikayeti ile ba�vurdu. Solunum fonksiyon testi normaldi. Toraks bilgisayarl� tomografisinde (BT), trakea ve ana bron�larda trakea posterior membran�n�n korundu�u yayg�n kalsifikasyonlar g�r�ld�. FOB�da t�m trakeal hat boyunca multipl, beyaz renkli polipoid yap�lar izlendi. Olgu inhaler steroid tedavisi alt�nda semptomsuz olarak izlenmektedir. Hemoptizi �ikayeti ile ba�vuran 52 ya��nda kad�n hastan�n Toraks BT�sinde trakea l�meninde yayg�n nod�ler g�r�n�m izlendi. FOB�da endobron�iyal lezyon izlenmedi ancak t�m trakeal hatta mukozadan kabar�k, beyaz renkli lezyonlar g�r�ld�. Hasta hemoptizi tekrar� olmadan izlenmektedir.

Anahtar Kelimeler: Trakeobronkopatia Osteokondroplastika, Hemoptizi, Kronik �ks�r�k, Fiberoptik Bronkoskopi.

Tracheobronchopatia Ostecondroplastica: two cases studies

Ay�e Baha, Tu�ba K�rl�, Nurdan K�kt�rk, Haluk T�rkta�
Gazi University Faculty Of Medicine, Department Of Pulmonary Medicine, Ankara, Turkey

Tracheobronchopathia Osteochondroplastica (TO) is a rare, benign condition characterized by the presence of bony and cartilaginous nodules in the tracheal and bronchial submucosa. Tracheobroncopathia osteocondroblastica is usually asymptomatic and particularly affects men above 50 years of age. Patients may present with recurrent infections, symptoms of bronchial hyperresponsiveness, and with hemoptysis. Here, two patients with tracheobronchopatia ostecondroplastica are discussed regarding fiberoptic bronchoscopic, radiologic and clinical features of the disease. A-20-year-old female patient presented to our clinic with a dry cough that had been present for 2,5 years. Pulmonary function tests were found to be normal. Thorax CT revealed diffuse calcifications in the trachea and main bronchi with preserved posterior membrane. Multiple, polypoid, and white-colored lesions were detected throughout the tracheal area with fiberoptic bronchoscopy. The patient is being followed and is asymptomatic under inhaler steroid therapy. A-52-year-old female patient presented to our clinic with symptoms of hemoptysis. Thorax CT revealed diffuse tracheal nodules. Polypoid white-colored lesions were detected in the tracheal submucosa with fiberoptic bronchoscopy. The patient is being followed without the recurrence of hemoptysis.

Keywords: Tracheobronchopathia Osteochondroplastica, Hemoptysis, Chronic Cough, Fiberoptic Bronchoscopy.

Sorumlu Yazar: Ay�e Baha, T�rkiye
Makale Dili: T�rk�e

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