RT Journal Article
SR Electronic
T1 Endobronchial Findings of Fibrosing Mediastinitis
JF Respiratory Care
FD American Association for Respiratory Care
SP 1038
OP 1042
VO 48
IS 11
A1 Effrosyni D Manali
A1 Cynthia P Saad
A1 Georgiann Krizmanich
A1 Atul C Mehta
YR 2003
UL http://rc.rcjournal.com/content/48/11/1038.abstract
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.