Unusual pulmonary complication of ulcerative colitis with a rapid response to corticosteroids: case report.

Constrictive Bronchiolitis and Ulcerative Colitis

“…This patient also had a negative bronchography for bronchiectasis and a lung biopsy demonstrating diffuse panbronchiolitis (3). A third had exertional dyspnea and a nonproductive cough, with a normal bronchoscopy and a lung biopsy showing obliterative bronchiolitis (6). None of these patients had any other extraintestinal manifestations of ulcerative colitis.…”

“…Nearly half of the cases of airway involvement occur postcolectomy, and one suggestion has been that the focus of inflammation switches from the gastrointestinal tract to the lung after surgery (2,10). The embryological gut source of both the lung and gastrointestinal tract may account for a common target of inflammation at both epithelial sites (6). There is no predictive serology for the development of lung pathology.…”

“…Only two of 33 patients in the largest reported case series by Camus et al (2) had small airway disease. The three case reports in the literature of constrictive bronchiolitis had different clinical presentations to ours (3,5,6). One patient had ulcerative colitis and no cough or sputum production, but also had exertional dyspnea, severe airflow obstruction, a negative rheumatoid factor and ANA, and biopsy-proven constrictive bronchiolitis (2,5).…”

Manifestações extra-intestinais em doença de Crohn e retocolite ulcerativa: prevalência e correlação com o diagnóstico, extensão, atividade, tempo de evolução da doença

“…(60,61,62,63,64,65,66,67) A incidência de manifestações pulmonares em DII permanece ainda desconhecida e difícil de determinar, pois muitos pacientes são avaliados por médicos fora do contexto da sua doença intestinal ou muitos anos após colectomia. (64) Os sintomas pulmonares também podem ser causados pelas drogas utilizadas para o tratamento da doença intestinal, como sulfassalazina ou mesalazina, sendo que a primeira droga pode levar a infiltrado pulmonar intersticial com eosinofilia periférica e a segunda droga não tem um padrão de acometimento definido.…”

Extraintestinal Manifestations of Ulcerative Colitis

“…Pulmonary vasculitis is a rare complication of UC (Black et al, 2007;Forrest & Shearman, 1975;Hilling et al, 1994;Isenberg et al, 1968). Patients can present with fever, dyspnea, or cough with blood-tinged sputum (Forrest & Shearman, 1975;Hilling, Robertson et al, 1994).…”