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Tracheobronchopathia osteochondroplastica: kömür işleme işi ve astma ile ilişkili bir olgu

Tracheobronchopathia osteochondroplastica: a case associated with coal processing and asthma

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Abstract (2. Language): 
A 41-year-old man admitted with the complaint of chronic cough. His complaint had begun while working at a coal processing facility, but continued after changing his job. Previously he had been treated with the diagnosis of acute bronchitis and/or asthma for several occasions. Initial evaluation tests and examinations confirmed the diagnosis of asthma but response to the treatment was unsatisfactory. Further investigation with computed tomography of the thorax, and bronchoscopy and histopathological examination confirmed the diagnosis of tracheobronchopathia osteochondroplastica. To our knowledge this is the first case associated with both coal dust exposure without interstitial involvement, and asthma. Tracheobronchopathia osteochondroplastica should be considered in asthma cases with chronic cough resistant to therapy, especially when there is a history of inorganic dust exposure.
Abstract (Original Language): 
Kırk bir yaşında erkek hasta kronik öksürük şikayetiyle başvurdu. Şikayeti bir kömür işleme tesisinde çalışırken başlamış, ancak iş değişikliğine rağmen devam etmişti. Daha önce birçok kez akut bronşit ve/veya astma tanılarıyla tedavi görmüştü. Yapılan ön tetkik ve muayeneler sonucu astma tanısı doğrulandı, ancak tedaviye yeterli cevap alınamadı. Bilgisayarlı toraks tomografisi, bronkoskopi ve histopatolojik incelemeyle yapılan ileri incelemeler sonucu, tracheobronchopathia osteochondroplastica tanısı doğrulandı. Bildiğimiz kadarıyla olgumuz interstisyel tutulum olmayan kömür tozu maruziyeti ve astmanın birlikte eşlik ettiği ilk tracheobronchopathia osteochondroplastica olgusudur. Tedaviye dirençli öksürük şikayeti olan astma hastalarında özellikle inorganik toz maruziyeti mevcutsa, tracheobronchopathia osteochondroplastica akla getirilmelidir.
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