Tuberculosis and Respiratory Diseases

  • 제64권2호
  • /
  • Pages.144-148
  • /
  • 2008
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

폐섬유증에 동반된 기관거대증과 재발성 종격동기종 1예

A Case of Tracheomegaly and Recurrent Pneumomediastinum Combined with Pulmonary Fibrosis

  • 전성란 (순천향대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 이영목 (순천향대학교 의과대학 내과학교실) ;
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 정은정 (순천향대학교 의과대학 내과학교실) ;
  • 김지연 (순천향대학교 의과대학 내과학교실) ;
  • 박의주 (순천향대학교 의과대학 내과학교실)
  • Jeon, Seong-Ran (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Uh, Soo-Taek (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Ki-Up (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Young-Mok (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Yang-Ki (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jung, Eun-Jung (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Ji-Yon (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Park, Eui-Ju (Department of Internal Medicine, Soonchunhyang University College of Medicine)
  • 투고 : 2007.11.22
  • 심사 : 2008.01.28
  • 발행 : 2008.02.28
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초록

저자들은 류마티스 관절염에 동반된 폐섬유증을 진단받은 환자에서 기관거대증과 자발성 종격동기종이 재발되는 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Tracheomegaly is a distinctive condition that presents with marked dilation of the trachea. Spontaneous pneumomediastinum is the result of alveolar rupture with dissection of the airway along the bronchus and into the mediastinum. Tracheomegaly and recurrent spontaneous pneumomediastinum are rare complications of pulmonary fibrosis when combined with rheumatoid arthritis. We present a case of tracheomegaly and recurrent spontaneous pneumomediastinum that was precipitated by repeated respiratory infection and chronic cough in a patient with pulmonary fibrosis that was associated with rheumatoid arthritis.

키워드

참고문헌

  1. Breatnach E, Abbott GC, Fraser RG. Dimensions of the normal human trachea. AJR Am J Roentgenol 1984;142:903-6 https://doi.org/10.2214/ajr.142.5.903
  2. Woodring JH, Barrett PA, Rehm SR, Nurenberg P. Acquired tracheomegaly in adults as a complication of diffuse pulmonary fibrosis. AJR Am J Roentgenol 1989;152:743-7 https://doi.org/10.2214/ajr.152.4.743
  3. Yun SY, Kim YH, Choi EK, Hong SK, Ji YK, Lee KY, et al. A case of spontaneous pneumomediastinum and pneumopericardium in a patient with acute exacerbation of idiopathic pulmonary fibrosis. Tuberc Respir Dis 2001;50:704-9 https://doi.org/10.4046/trd.2001.50.6.704
  4. Patel A, Kesler B, Wise RA. Persistent pneumomediastinum in interstitial fibrosis associated with rheumatoid arthritis: treatment with high-concentration oxygen. Chest 2000;117:1809-13 https://doi.org/10.1378/chest.117.6.1809
  5. Schernthaner G, Scherak O, Kolarz G, Kummer F. Seropositive rheumatoid arthritis associated with decreased diffusion capacity of the lung. Ann Rheum Dis 1976;35:258-62 https://doi.org/10.1136/ard.35.3.258
  6. Park CS, Kim JS. Tracheobronchmegaly with multiple diverticula: a case report. J Korean Radiol Soc 1993;29:99-103 https://doi.org/10.3348/jkrs.1993.29.1.99
  7. Celenk C, Celenk P, Selcuk MB, Ozyazici B, Kuru O. Tracheomegaly in association with rheumatoid arthritis. Eur Radiol 2000;10:1792-4 https://doi.org/10.1007/s003300000451
  8. Fraser RG. Measurements of the calibre of human bronchi in three phases of respiration by cinebronchography. J Can Assoc Radiol 1961;12:102-12
  9. Griscom NT, Vawter GF, Stigol LC. Radiologic and pathologic abnormalities of the trachea in older patients with cystic fibrosis. AJR Am J Roentgenol 1987;148:691-3 https://doi.org/10.2214/ajr.148.4.691
  10. Feist JH, Johnson TH, Wilson RJ. Acquired tracheomalacia: etiology and differential diagnosis. Chest 1975;68:340-5 https://doi.org/10.1378/chest.68.3.340
  11. Abolnik I, Lossos IS, Breuer R. Spontaneous pneumomediastinum. A report of 25 cases. Chest 1991;100:93-5 https://doi.org/10.1378/chest.100.1.93
  12. Miller WE, Spiekerman RE, Hepper NG. Pneumomediastinum resulting from performing Valsalva maneuvers during marihuana smoking. Chest 1972;62:233-4 https://doi.org/10.1378/chest.62.2.233
  13. Susan MD. Chapter 37. Spontaneous pneumothorax and pneumomediastinum. In: Wolfson AB, Hendery GW, Gregory W, Hendry PL, Linden CH, Rosen CL, et al, editors. Harsood-Nuss's clinical practice of emergency medicine. 4th ed. Baltimore: Lippincott Willams & Wilkins; 2005. p. 231-2
  14. Lee CT. Mediastinal disease. In: Ann CM, editor. Respiratory diseases. 1st ed. Seoul: Koonja Publishing Inc.; 2004. p. 685-91
  15. Matsuda Y, Tomii M, Kashiwazaki S. Fatal pneumomediastinum in dermatomyositis without creatine kinase elevation. Intern Med 1993;32:643-7 https://doi.org/10.2169/internalmedicine.32.643