Evidence map›Paper›PMID 40813709›Full record

ReviewBMC pulmonary medicine2025

A case of tracheobronchomegaly misdiagnosed as COPD: case report and literature review.

Sai Yuan, Weiran Li, Mao Hua

Abstract readCase ReportsReview
In one paragraph

Review in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sai Yuan *Clinical Medical College of Qinghai University, Xining City, Qinghai Province, 810000, China.ORCID http://orcid.org/0009-0000-7821-463X
Weiran Li *Clinical Medical College of Qinghai University, Xining City, Qinghai Province, 810000, China.ORCID http://orcid.org/0009-0002-8692-0686
Mao HuaClinical Medical College of Qinghai University, Xining City, Qinghai Province, 810000, China. 13997239041@163.com.ORCID http://orcid.org/0009-0000-6411-921X

Funding

Respiratory and critical care medicine, a key clinical specialty construction project in Qinghai Province Office of Qinghai Provincial Health Commission (2025) 5
6 · The paper itself

Abstract

backgroundTracheobronchomegaly, also known as Mounier-Kuhn syndrome (MKS), is a rare congenital condition characterized by significant dilation of the trachea and main bronchi along with an abnormal wall structure. Diagnosis can be confirmed through computed tomography, pulmonary function tests, and diagnostic bronchoscopy. Currently, there is no curative treatment for MKS; thus, symptomatic and supportive care remain the primary therapeutic approaches. Early diagnosis, effective infection control, and individualized management are crucial for improving patient outcomes.

methodsThis case report describes a middle-aged woman who presented with chronic cough, expectoration, and wheezing. She had been misdiagnosed with chronic obstructive pulmonary disease (COPD) at a local hospital for an extended period and was subsequently referred to our institution for fiberoptic bronchoscopy, which confirmed the diagnosis of MKS. By reviewing the literature via PubMed, we conducted a retrospective analysis of 29 previously reported cases of MKS, including the present case, totaling 30 cases (21 males and 9 females), predominantly middle-aged and elderly individuals.

conclusionsBased on our literature review, the misdiagnosis rate of MKS remains high, often accompanied by significant diagnostic delays. Additionally, the proportion of secondary MKS cases has increased, challenging the traditional notion that MKS is exclusively congenital. Despite its rarity, clinicians should consider MKS in patients presenting with recurrent lower respiratory tract infections, abnormal tracheobronchial morphology., poor response to antibiotic therapy, or refractory COPD-like symptoms. Early imaging and bronchoscopic evaluations are essential to confirm the diagnosis and prevent delayed treatment.

Indexed as

Diagnostic ErrorsPulmonary Disease, Chronic ObstructiveTracheobronchomegalyBronchoscopyCoughFemaleHumansMiddle AgedTomography, X-Ray ComputedCOPDMounier-Kuhn syndromeRelapsing polychondritisTracheobronchomalaciaTracheobronchomegaly

Identifiers

PMID40813709
PMCPMC12355859

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.