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Thorax 2009;64:546-547; doi:10.1136/thx.2008.107185
Copyright © 2009 BMJ Publishing Group Ltd & British Thoracic Society.

CASE REPORT

Granulomatous bronchiolitis of Crohn’s disease successfully treated with inhaled budesonide

T K Trow, D G Morris, C R Miller, R J Homer

Yale University School of Medicine, New Haven, Connecticut, USA

Correspondence to:
Dr T K Trow, Yale University School of Medicine, New Haven, CT 06520-8057, USA; terence.trow{at}yale.edu

A 39-year-old white woman with longstanding Crohn’s disease presented with the rare complication of granulomatous bronchiolitis. Rapid resolution after inhaled budesonide is highlighted, as this is the first case described in the literature successfully treated without the need for systemic therapy. This less toxic approach to therapy is warranted in granulomatous bronchiolitis of Crohn’s disease to avoid unwanted side effects of steroids and infliximab.


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