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Traqueobroncopatía osteocondroplástica
Tracheobronchopathia osteochondroplastica
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Antecedentes médicos de neumonías recurrentes durante los últimos 2 años con diferentes localizaciones, con síntomas habituales de tos, expectoración con mucosidad purulenta y episodios febriles. En el proceso actual, la tomografía computarizada del tórax muestra un infiltrado pulmonar en el lóbulo inferior izquierdo y una afectación irregular de aspecto calcificado en la pared traqueal y en ambos bronquios principales. En la fibrobroncoscopia, cuyo procedimiento completo se muestra en el video anexo, e imagen endobronquial (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>), se observa una afectación nodular de la pared cartilaginosa traqueal y de ambos árboles bronquiales hasta nivel subsegmentario, en donde la mucosa bronquial se mantiene normalizada. La biopsia de un nódulo bronquial confirmó el diagnóstico de traqueobroncopatía osteocondroplástica.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La traqueobroncopatía osteocondroplástica es una enfermedad benigna de la parte inferior de la tráquea y parte superior de bronquios principales, con presencia de nódulos submucosos cartilaginosos y calcificados, con proyección a la luz traqueobronquial<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Sin etiología definida, el diagnóstico se realiza con visión endobronquial directa, y cuando se realiza biopsia, descripción de los nódulos comentados. No hay tratamiento específico, y únicamente en casos graves, precisa de resección nodular para eliminar la obstrucción bronquial y evitar acúmulo de secreciones e infecciones respiratorias<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 759 "Ancho" => 750 "Tamanyo" => 46576 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Afectación nodular de la pared traqueal en imagen endobronquial.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 10459381 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An Unusual Cause of Hemoptysis: Tracheopathia Osteochondroplastica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Drake" 1 => "A. Majid" 2 => "S. Fernandez-Bussy" 3 => "E. Folch" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/LBR.0000000000000262" "Revista" => array:6 [ "tituloSerie" => "J Bronchology Interv Pulmonol" "fecha" => "2016" "volumen" => "23" "paginaInicial" => "e12" "paginaFinal" => "e14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27058723" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-malignant central airway obstruction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. Barros Casas" 1 => "S. Fernández-Bussy" 2 => "E. Folch" 3 => "J. Flandes Aldeyturriaga" 4 => "A. Majid" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2013.12.012" "Revista" => array:7 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2014" "volumen" => "50" "paginaInicial" => "345" "paginaFinal" => "354" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24703501" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0140673600022716" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005600000003/v2_202003070709/S0300289619301267/v2_202003070709/es/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005600000003/v2_202003070709/S0300289619301267/v2_202003070709/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619301267?idApp=UINPBA00003Z" ]
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