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Respiratory Conditions Associated with Tracheobronchomegaly (Mounier-Kuhn Syndrome): A Study of Seventeen Cases

Pierre Schmitt 1 Levent Dalar Stéphane Jouneau 2, 3, 4 Bénédicte Toublanc Juliette Camuset Gérard Chatte Laurent Cellerin 5 Hervé Dutau Stéphane Sanchez 6 Maxime Sauvage Jean-Michel Vergnon 7 Sandra Dury 8, 9 Gaetan Deslée 9 François Lebargy 10, 9
1 Hôpital Maison Blanche
2 Irset - Institut de recherche en santé, environnement et travail
3 CIC - Centre d'Investigation Clinique [Rennes]
4 CHU Pontchaillou [Rennes]
5 Service d’Oncologie Médicale Thoracique et Digestive
6 CHU Reims - Centre Hospitalier Universitaire de Reims
7 CHU de Saint-Etienne - Centre Hospitalier Universitaire de Saint-Etienne
8 PERPMP - Plasticité de l'épithélium respiratoire dans les conditions normales et pathologiques - UMR-S 903
9 Hôpital Maison Blanche
10 Unité d'Aide Méthodologique
Abstract : Background: Mounier-Kuhn syndrome (MKS) is a rare disorder characterized by enlargement of the trachea and main bronchi and associated with recurrent respiratory tract infections. Objective: This multicenter, retrospective study was carried out to describe respiratory conditions associated with tracheobronchomegaly. Methods: Nine institutions involved in the ‘Groupe d'Endoscopie de Langue Française' (GELF) participated in this study. A standard form was used to record patient characteristics, treatments and follow-up from medical charts. Results: Seventeen patients, 53% male, aged 58 ± 18 years at diagnosis were included. Recurrent infections revealed MKS in 88% of cases. Main comorbid conditions were diffuse bronchiectasis in 88% of patients and tracheobronchomalacia in 67% of cases. The exacerbation rate was 1.5 exacerbations/patient/year. The main non-respiratory morbid condition was gastroesophageal reflux disease in 29% of cases. Interventional bronchoscopy was performed in seven patients (41%), consisting of laser (n = 2) and tracheal stenting (n = 5). Complications related to stents were observed in 80% of cases with a mean stent duration of 8 months. Four deaths, including three due to respiratory causes, occurred during follow-up. Conclusions: This is the largest series of MKS reported in the literature, showing that bronchiectasis and tracheobronchomalacia are the main associated morbid conditions that constitute a challenge for treatment.
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01331182
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Submitted on : Monday, June 13, 2016 - 3:34:52 PM
Last modification on : Monday, May 17, 2021 - 2:52:13 PM

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UNIV-RENNES1 | IRSET | CIC | CIC203 | BIOSIT | UR1-UFR-SVE | IRSET-1 | UNIV-ANGERS | URCA | P3CELL | CAPSANTE | UNIV-RENNES

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Pierre Schmitt, Levent Dalar, Stéphane Jouneau, Bénédicte Toublanc, Juliette Camuset, et al.. Respiratory Conditions Associated with Tracheobronchomegaly (Mounier-Kuhn Syndrome): A Study of Seventeen Cases. Respiration, Karger, 2016, 91 (4), pp.281--287. ⟨10.1159/000445029⟩. ⟨hal-01331182⟩

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