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Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

Cough and Persistent Wheeze in a Patient With Long-Standing Asthma*

Huck Chin Chew, MBBS, MMed; Su-Ying Low, MBBCh (Oxon), BA, FCCP; Philip Eng, MBBS, FCCP; Thirugnanam Agasthian, MBBS; Foong Koon Cheah, MBBS
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*From the Departments of Respiratory and Critical Care Medicine (Drs. Chew, Low, and Eng) and Diagnostic Radiology (Dr. Cheah), Singapore General Hospital; and Department of Cardiothoracic Surgery (Dr. Agasthian), National Heart Centre, Singapore.

Correspondence to: Huck Chin Chew, MBBS, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Rd, Singapore 169608; e-mail: chinnjing@pacific.net.sg



Chest. 2007;132(2):727-731. doi:10.1378/chest.06-2810
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1Hui, AN, Koss, MN, Hochholzer, L, et al (1986) Amyloidosis presenting in the lower respiratory tract.Arch Pathol Lab Med110,212-2182Cordier, JF, Loire, R, Brune, J Amyloidosis of the tracheobronchial tree.N Engl J Med1962;266,587-5913Kamberg, S, Loitman, BS, Holtz, S Amyloidosis of the tracheobronchial tree.N Engl J Med1962;266,587-5914Rubinow, A, Celli, BR, Cohen, AS, et al Localized amyloidosis of the lower respiratory tract.Am Rev Respir Dis1978;118,603-6115Thompson, PJ, Citron, KM Amyloid and the lower respiratory tract.Thorax1983;38,84-876Petermann, W, Barth, J, Schluter, E Localized amyloidosis of central airways.Eur J Respir Dis1987;71,210-2127Shinoi, K, Shiraishi, Y, Yahata, JI Amyloid tumor of the trachea and lung, resembling bronchial asthma.Dis Chest1962;42,442-4458Utz, JP, Swensen, SJ, Gertz, MA Pulmonary amyloidosis: the Mayo Clinic experience from 1980 to 1993.Ann Intern Med1996;124,407-4139O’Regan, A, Fenlon, HM, Beamis, JF, et al Tracheobronchial amyloidosis: the Boston University experience from 1984 to 1999.Medicine (Baltimore)2000;79,69-7910Ernst, A, Feller-Kopman, D, Becker, HD, et al Central airway obstruction.Am J Respir Crit Care Med2004;169,1278-129711Dunne, MG, Reiner, B CT features of tracheobronchomegaly.J Comput Assist Tomogr1988;12,388-39112Kwong, JS, Adler, BD, Padley, SP, et al Diagnosis of diseases of the trachea and main bronchi: chest radiography vs CT.AJR Am J Roentgenol1993;161,519-52213Tillie-Leblond, I, Wallaert, B, Leblond, D, et al Respiratory involvement in relapsing polychondritis: clinical, functional, endoscopic, and radiographic evaluations.Medicine (Baltimore)1998;77,168-17614Weismann, RE, Clagett, OT, McDonald, JR Amyloid disease of the lung treated by pneumonectomy.J Thorac Cardiovasc Surg1947;16,269-28115Flemming, AF, Fairfax, AJ, Arnold, AG, et al Treatment of endobronchial amyloidosis by intermittent bronchoscopic resection.Br J Dis Chest1980;74,183-18816Finn, DG, Farmer, JC, Jr Management of amyloidosis of the larynx and trachea.Arch Otol1982;108,54-5617Fukumura, M, Mieno, T, Suzuki, T, et al Primary diffuse tracheobronchial amyloidosis treated by bronchoscopic Nd-YAG laser irradiation.Jpn J Med1990;29,620-62218Pecora, JL, Sambursky, JS, Vargha, F, et al Radiation therapy in amyloidosis of the eyelid and conjunctiva: a case report.Ann Opthalmol1982;14,194-19619Shinoi, K, Shirai-Shi, U, Yahata, J Amyloid tumor of the trachea and lung resembling bronchial asthma.Dis Chest1962;42,442-44520Hollinger, PH, Novak, FJ, Johnston, KC Tumors of the trachea.Laryngoscope1950;60,1086-110921Kurrus, JA, Hayes, JK, Hoidal, JR, et al Radiation therapy for tracheobronchial amyloidosis.Chest1998;114,1489-149222Anderson, RE, Warner, NL Ionizing radiation and the immune response.Adv Immunol1976;24,215-33523Order, SE The effects of therapeutic irradiation on lymphocytes and immunity.Cancer1977;39,737-743

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