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Arch Bronconeumol ; 49(5): 207-9, 2013 May.
Article in English, Spanish | MEDLINE | ID: mdl-23347550

ABSTRACT

Amyloidosis is a systemic disease caused by abnormal deposition of amyloid material that is detected with Congo red staining and is difficult to diagnose. Involvement of the tracheobronchial tree is rare and is a challenge for pulmonologists because of the wide differential diagnosis of this disease. We present two cases where tracheobronchial affectation has been observed: in one of them as a primary disease, and in another as secondary affectation. The use of bronchoscopic techniques is essential for the diagnosis of tracheobronchial involvement. In the absence of an effective drug therapy, local management of this disease with endoscopic techniques for bronchial repermeabilization is able to provide clinical improvement and expand the treatment options and prognosis in this disease.


Subject(s)
Amyloidosis/surgery , Bronchial Diseases/surgery , Bronchoscopy/methods , Tracheal Diseases/surgery , Airway Obstruction/etiology , Airway Obstruction/surgery , Amyloidosis/complications , Amyloidosis/diagnosis , Amyloidosis/drug therapy , Amyloidosis/pathology , Biopsy , Birefringence , Bone Marrow/pathology , Bronchial Diseases/diagnosis , Bronchial Diseases/drug therapy , Bronchial Diseases/pathology , Bronchial Neoplasms/diagnosis , Coloring Agents , Combined Modality Therapy , Congo Red , Diagnosis, Differential , Female , Hemoptysis/etiology , Humans , Laser Therapy , Lung/pathology , Lung Neoplasms/diagnosis , Male , Melphalan/therapeutic use , Middle Aged , Prednisone/therapeutic use , Tracheal Diseases/diagnosis , Tracheal Diseases/drug therapy , Tracheal Diseases/pathology
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