Plastic bronchitis is a rare condition characterized by the formation of bronchial casts that form in airways with the potential to cause obstruction. It is most commonly seen in pediatric patients with cyanotic heart disease; it is rare in the adult patient. The pathophysiology is unclear, but recently it has been suggested there is an association with abnormal pulmonary lymphatic flow seen on advanced imaging. We present a patient with plastic bronchitis with a possible family history and an illdefined thrombocytosis and leukocytosis. CASE PRESENTATION: A 41 y/o woman presented to the ED complaining of waking up gasping for air. She reported that she coughed up bloody phlegm the size of her hand and shaped like a "Christmas tree". For the previous two weeks she had a cough with pleuritic chest pain. Her past medical history included HTN and chronic leukocytosis and thrombocytosis, which despite evaluation by a hematologist with flow cytometry and bone marrow biopsy, remains undefined. She is not a smoker. She reported an aunt who had similar issues coughing up large-volume phlegm shaped similarly.No relevant relationships by Supraja Thunuguntla, source¼Web Response
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.