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Imagen Clínica
Obstrucción no maligna de vía aérea superior: raro caso de amiloidosis traqueal
Non-Malignant Obstruction of the Upper Airway: A Rare Case of Tracheal Amyloidosis
Almudena Felipe Montiela,
Corresponding author
almudena.felipe@vhebron.net

Autor para correspondencia.
, Karina Loor Reyesa, Mario Culebras Amigoa,b
a Servicio de Neumología, Departamento de Medicina, Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, España
b CIBER Enfermedades Respiratorias (CIBERES), Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, España
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 80 a&#241;os sin h&#225;bitos t&#243;xicos ni antecedentes m&#233;dico-quir&#250;rgicos&#44; sometida a apendicectom&#237;a urgente&#46; Durante la laringoscopia directa se objetiva una estenosis subgl&#243;tica que dificulta la intubaci&#243;n orotraqueal&#46; La tomograf&#237;a axial computarizada &#40;TAC&#41; cervical muestra un engrosamiento subgl&#243;tico inespec&#237;fico de aspecto seudonodular &#40;19<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>9<span class="elsevierStyleHsp" style=""></span>mm&#41; en cara posterior de la pared traqueal proximal&#44; que compromete parcialmente la v&#237;a a&#233;rea&#46; Una broncoscopia flexible &#40;<a class="elsevierStyleCrossRef" href="#sec0010">v&#237;deo&#44; material suplementario</a>&#41; revel&#243; una lesi&#243;n amarillo-gris&#225;cea de aspecto granulomatoso con infiltraci&#243;n mucosa difusa y conc&#233;ntrica que obliteraba el 30-40&#37; de la luz traqueal &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; La histolog&#237;a mostr&#243; dep&#243;sitos de material amorfo que adoptaban una coloraci&#243;n rojiza tras ser expuestas a la tinci&#243;n de rojo Congo&#59; adem&#225;s de una birrefringencia verde manzana bajo la luz polarizada&#44; compatible con amiloide&#46; Ante la ausencia de sintomatolog&#237;a se desestim&#243; cualquier intervenci&#243;n invasiva&#44; realizando seguimiento ambulatorio&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La amiloidosis en v&#237;a a&#233;rea superior es una enfermedad rara y poco frecuente&#44; con una sintomatolog&#237;a muy inespec&#237;fica<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>&#44; y en ocasiones f&#225;cilmente confundible con otras entidades m&#225;s comunes como el asma&#44; la EPOC o el c&#225;ncer de pulm&#243;n<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>&#46; Es imprescindible una evaluaci&#243;n completa incluyendo TAC de alta resoluci&#243;n&#44; que permita establecer el tipo de afectaci&#243;n pulmonar y la broncoscopia flexible con toma de biopsias para confirmar el diagn&#243;stico anatomopatol&#243;gico&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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