array:23 [
  "pii" => "S1579212921002627"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2020.01.018"
  "estado" => "S300"
  "fechaPublicacion" => "2021-09-01"
  "aid" => "2406"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2021;57:589"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1579212921002639"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2020.01.019"
    "estado" => "S300"
    "fechaPublicacion" => "2021-09-01"
    "aid" => "2410"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2021;57:590"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Paracoccidioidomycosis&#58; Endobronchial Involvement in a Rare Disease in Europe"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "590"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Paracoccidioidomicosis&#58; aspectos endobronquiales de una enfermedad rara en Europa"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 719
              "Ancho" => 950
              "Tamanyo" => 189044
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic image of the patient thorax &#40;a&#41; and endobronchial aspects of disease at the distal third of patient&#39;s trachea &#40;b&#41;&#59; Histochemical detection of fungal forms in PAS coloration &#40;c&#41; and Grocott coloration &#40;d&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cl&#225;udia Sousa, Jos&#233; Alves, Michelle Cordeiro"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Cl&#225;udia"
              "apellidos" => "Sousa"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Alves"
            ]
            2 => array:2 [
              "nombre" => "Michelle"
              "apellidos" => "Cordeiro"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002639?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002639/v1_202109020614/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212921002615"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2020.01.017"
    "estado" => "S300"
    "fechaPublicacion" => "2021-09-01"
    "aid" => "2403"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2021;57:588"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Pulmonary Artery Aneurysm Partially Regressing With Medical Treatment in Beh&#231;et&#39;s Disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "588"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Aneurisma de la arteria pulmonar con regresi&#243;n parcial tras tratamiento m&#233;dico en la enfermedad de Beh&#231;et"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1041
              "Ancho" => 750
              "Tamanyo" => 167906
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In presentation&#44; coronal &#40;A&#41; and axial &#40;C&#41; MIP thorax CT angiography scans reveal aneurysms in the anterior &#40;frame&#41; and posterior &#40;arrow&#41; segmentary pulmonary arteries of the right upper lobe&#46; In control examination eight months after corticosteroid and intravenous cyclophosphamide treatment&#44; coronal &#40;B&#41; and axial &#40;D&#41; MIP thorax CT angiography scans show complete resolution &#40;arrow&#41; of the aneurysm in the posterior segmentary pulmonary artery of the right upper lobe&#46; Aneurysm &#40;frame&#41; in the anterior segmentary pulmonary artery shows persistently in CT angiographic images&#46; In presentation &#40;E&#41; and control examination &#40;F&#41;&#44; anterior view 3D volume rendering CT images reveal clearly persistent &#40;asterisk&#41; and shrinking &#40;arrow&#41; aneurysms&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Veysel Ayyildiz, Yener Aydin, Hayri Ogul"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Veysel"
              "apellidos" => "Ayyildiz"
            ]
            1 => array:2 [
              "nombre" => "Yener"
              "apellidos" => "Aydin"
            ]
            2 => array:2 [
              "nombre" => "Hayri"
              "apellidos" => "Ogul"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002615?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002615/v1_202109020614/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Unusual Cause of Bronchial Obstruction&#58; Tracheobronchial Amyloidosis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "589"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Veysel Ayyildiz, Yener Aydin, Hayri Ogul"
        "autores" => array:3 [
          0 => array:3 [
            "nombre" => "Veysel"
            "apellidos" => "Ayyildiz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Yener"
            "apellidos" => "Aydin"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:4 [
            "nombre" => "Hayri"
            "apellidos" => "Ogul"
            "email" => array:1 [
              0 => "drhogul@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Radiology&#44; Medical Faculty&#44; Suleyman Demirel University&#44; Isparta&#44; Turkey"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Thoracic Surgery&#44; Medical Faculty&#44; Ataturk University&#44; Erzurum&#44; Turkey"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Radiology&#44; Medical Faculty&#44; Ataturk University&#44; Erzurum&#44; Turkey"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Una causa poco frecuente de obstrucci&#243;n bronquial&#58; amiloidosis traqueobronquial"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 433
            "Ancho" => 900
            "Tamanyo" => 61992
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional volume-rendered air-specific coronal plan MDCT image &#40;A&#41; and virtual CT bronchoscopy &#40;B&#41; demonstrate obstruction &#40;frame and arrow&#41; of the left main bronchus&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 60-year-old male presented with complaints of chronic cough&#44; occasional mucus secretion&#44; and dyspnea&#46; Coronal CT scans revealed diffuse thickened tracheobronchial wall &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Axial CT scan showed atelectasi in the lingular segment of the left upper lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Three-dimensional volume-rendered air-specific coronal plan MDCT image &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41; and virtual CT bronchoscopy &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41; demonstrated obstruction of the left main bronchus&#46; Bronchoscopic biopsy diagnosed diffuse tracheobronchial amyloidosis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Primary tracheobronchial amyloidosis has rarely been reported in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> There is no relationship between endobronchial amyloidosis and systemic amyloidosis&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> The endobronchial involvement can mimic a tumoral lesion&#46; Although it is very rare&#44; tracheobronchial amyloidosis should be considered in case of bronchial obstruction&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 379
            "Ancho" => 900
            "Tamanyo" => 56507
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Post-contrast coronal CT scan reveals diffuse thickened tracheobronchial wall&#46; &#40;B&#41; Axial CT scan shows atelectasi in the lingular segment of the left upper lobe&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 433
            "Ancho" => 900
            "Tamanyo" => 61992
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional volume-rendered air-specific coronal plan MDCT image &#40;A&#41; and virtual CT bronchoscopy &#40;B&#41; demonstrate obstruction &#40;frame and arrow&#41; of the left main bronchus&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "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" => "Primary endobronchial amyloidosis&#58; a rare case of endobronchial tumor"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Lal"
                            1 => "J&#46; Akhtar"
                            2 => "M&#46;S&#46; Khan"
                            3 => "Y&#46; Chen"
                            4 => "Y&#46; Goldman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rmcr.2018.02.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Med Case Rep"
                        "fecha" => "2018"
                        "volumen" => "23"
                        "paginaInicial" => "163"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29719808"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of tracheobronchial amyloidosis with therapeutic bronchoscopic techniques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Berraondo"
                            1 => "L&#46; Novella"
                            2 => "F&#46; Sanz"
                            3 => "R&#46; Lluch"
                            4 => "E&#46; de Casimiro"
                            5 => "T&#46; Lloret"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2013"
                        "volumen" => "49"
                        "paginaInicial" => "207"
                        "paginaFinal" => "209"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005700000009/v1_202109020614/S1579212921002627/v1_202109020614/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "60604"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinical Images"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000009/v1_202109020614/S1579212921002627/v1_202109020614/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002627?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 57. Issue 9.
Pages 589 (September 2021)
Share
Share
Download PDF
More article options
Vol. 57. Issue 9.
Pages 589 (September 2021)
Clinical Image
Full text access
Unusual Cause of Bronchial Obstruction: Tracheobronchial Amyloidosis
Una causa poco frecuente de obstrucción bronquial: amiloidosis traqueobronquial
Visits
1773
Veysel Ayyildiza, Yener Aydinb, Hayri Ogulc,
Corresponding author
drhogul@gmail.com

Corresponding author.
a Department of Radiology, Medical Faculty, Suleyman Demirel University, Isparta, Turkey
b Thoracic Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey
c Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Full Text

A 60-year-old male presented with complaints of chronic cough, occasional mucus secretion, and dyspnea. Coronal CT scans revealed diffuse thickened tracheobronchial wall (Fig. 1A). Axial CT scan showed atelectasi in the lingular segment of the left upper lobe (Fig. 1B). Three-dimensional volume-rendered air-specific coronal plan MDCT image (Fig. 2A) and virtual CT bronchoscopy (Fig. 2B) demonstrated obstruction of the left main bronchus. Bronchoscopic biopsy diagnosed diffuse tracheobronchial amyloidosis.

Fig. 1.

(A) Post-contrast coronal CT scan reveals diffuse thickened tracheobronchial wall. (B) Axial CT scan shows atelectasi in the lingular segment of the left upper lobe.

(0.05MB).
Fig. 2.

Three-dimensional volume-rendered air-specific coronal plan MDCT image (A) and virtual CT bronchoscopy (B) demonstrate obstruction (frame and arrow) of the left main bronchus.

(0.06MB).

Primary tracheobronchial amyloidosis has rarely been reported in the literature.1,2 There is no relationship between endobronchial amyloidosis and systemic amyloidosis.1 The endobronchial involvement can mimic a tumoral lesion. Although it is very rare, tracheobronchial amyloidosis should be considered in case of bronchial obstruction.

References
[1]
A. Lal, J. Akhtar, M.S. Khan, Y. Chen, Y. Goldman.
Primary endobronchial amyloidosis: a rare case of endobronchial tumor.
Respir Med Case Rep, 23 (2018), pp. 163-166
[2]
J. Berraondo, L. Novella, F. Sanz, R. Lluch, E. de Casimiro, T. Lloret.
Management of tracheobronchial amyloidosis with therapeutic bronchoscopic techniques.
Arch Bronconeumol, 49 (2013), pp. 207-209
Copyright © 2020. SEPAR
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?