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Thorax 2009;64:546-547 doi:10.1136/thx.2008.107185
  • Case Report

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

  1. T K Trow,
  2. D G Morris,
  3. C R Miller,
  4. R J Homer
  1. Yale University School of Medicine, New Haven, Connecticut, USA
  1. Dr T K Trow, Yale University School of Medicine, New Haven, CT 06520-8057, USA; terence.trow{at}yale.edu
  • Received 2 September 2008
  • Accepted 2 November 2008

Abstract

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.

Footnotes

  • Competing interests: None.

  • Patient consent: Obtained.

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