Chest
Selected ReportsLarge Airway Disease Associated With Inflammatory Bowel Disease
Section snippets
Patient 1
A 30-year-old male nonsmoker with regional enteritis (Crohn's disease) was referred to the study clinic in January 1993 with a 2-year history of chronic productive cough. The cough had begun 4 months after his diagnosis of regional enteritis in 1991, and it had been unresponsive to three separate courses of antibiotics. During that 2-year period, the patient had experienced episodic worsening of the chronic cough associated with exacerbations of the IBD. He had no prior history of childhood
DISCUSSION
We describe in detail seven IBD patients developing new, persistent and unexplained chronic productive cough. For five patients, a diagnosis of bronchiectasis was made with the use of a CT scan of the chest. For the remaining two patients, a diagnosis of chronic bronchitis was made since there was no evidence of bronchiectasis on a CT scan of the chest. In these patients, the association between IBD and their respiratory disease is strongly suggested by the absence of any other causes for
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