PT  - JOURNAL ARTICLE
AU  - Effrosyni D Manali
AU  - Cynthia P Saad
AU  - Georgiann Krizmanich
AU  - Atul C Mehta
TI  - Endobronchial Findings of Fibrosing Mediastinitis
DP  - 2003 Nov 01
TA  - Respiratory Care
PG  - 1038--1042
VI  - 48
IP  - 11
4099  - http://rc.rcjournal.com/content/48/11/1038.short
4100  - http://rc.rcjournal.com/content/48/11/1038.full
AB  - Fibrosing mediastinitis is underdiagnosed because of the nonspecific character of the presenting symptoms. The endobronchial findings obtained via flexible bronchoscopy are not defined in the literature. We describe 3 cases of fibrosing mediastinitis, most likely caused by histoplasmosis. All 3 patients presented with hemoptysis and were found to have tracheobronchial concentric narrowing, severe hyperemia, and mucosal edema. The hyperemic blood vessels were treated with neodymium yttrium-aluminum-garnet (Nd:YAG) laser and argon plasma coagulation. We believe that recognition of specific endobronchial findings aids in prompt diagnosis of fibrosing mediastinitis.