Tracheobronchopathia osteochondroplastica: A cause of chronic cough and haemoptysis

Talha Shahzad, Nadeem Rizvi, Sabeeh Siddiqui, Rashida Ahmed

Research output: Contribution to journalArticlepeer-review


Tracheobronchopathia osteochondroplastica (TPO) is a rare disorder of the tracheopulmonary tree characterised by osseous and cartilaginous submucosal nodules projecting into the tracheal lumen, sparing the posterior tracheal membranous wall. Symptoms are non-specific and may include dry cough, hoarseness, dyspnoea, recurrent pneumonia and occasionally haemoptysis. A fibreoptic bronchoscopy showing multiple tracheal nodules followed by pathological biopsy is required to reach the final diagnosis. Here, we report two cases of TPO, both with history of biomass fuel exposure and almost similar clinical presentions with chronic cough, shortness of breath and intermittent haemoptysis. They both underwent fibreoptic bronchoscopy showing multiple tracheal nodules whose histopathological analysis showed the diagnosis of TPO. Both patients were treated conservatively and remained in good health afterwards. Physicians should be aware about the need of advanced surgical procedures including endotracheal stent placement in more severe cases.

Original languageEnglish
Article numbere240125
JournalBMJ Case Reports
Issue number4
Publication statusPublished - 12 Apr 2021


  • bronchitis
  • pneumonia (respiratory medicine)
  • respiratory system


Dive into the research topics of 'Tracheobronchopathia osteochondroplastica: A cause of chronic cough and haemoptysis'. Together they form a unique fingerprint.

Cite this