Afectación de la vía aérea alta en enfermedad inflamatoria intestinal. Descripción de 2 casos

Abstract

Inflammatory bowel disease is a chronic disease that primarily affects the gastrointestinal tract. Extraintestinal manifestations are frequent and can affect any organ, but those that affect the respiratory tract are uncommon. In these cases, the lower respiratory tract tends to be affected, usually with bronchiectasis and chronic bronchitis. It has been more often described in patients with ulcerative colitis.

We herein report the cases of two patients with inflammatory bowel disease with upper respiratory tract involvement treated in our hospital. Both cases were treated with systemic corticotherapy and required a tracheostomy. The first case presented with subglottic stenosis requiring dilation with a Foley catheter. We have conducted a review on the evidence available of the main characteristics of these manifestations, as well as its diagnosis and treatment according to the available case series.