Swyer-James-Macleod Syndrome in a Geriatric Patient: a Case Report
Abstract Hyperlucent lung syndrome or Swyer-James-Macleod syndrome is a rare, often incidental finding, primarily showing unilateral hyperlucency as a consequence of bronchiolitis obliterans. Often diagnosed in early childhood, though in some cases, it may only be discovered in adulthood or on account of recurrent chest infections. An 88-year-old patient presented to our outpatient center with complaints of shortness of breath with mild to moderate exertional dyspnea and exacerbations of symptoms classically associated with chronic obstructive pulmonary disease. Complaints have persisted for several years with waxing and waning intensity. There is a history of migraine, atrial fibrillation, hypothyroidism, and colon and breast cancer without recurrence. Computed tomography of the chest with intravenous contrast showed asymmetric emphysematous changes with marked hyperinflation and attenuated vasculatures confined to the middle lobe of the right lung. The patient was started on a combination of inhaled long-acting beta-agonists, corticosteroids, and long-acting muscarinic antagonists and is almost asymptomatic. Geriatric patients are at increased risk of various age-related diseases, respiratory disorders being among them. Knowledge of this rare condition allows for its appropriate management as it often coexists with bronchiectasis and results in frequent respiratory infections, which may be preventable..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:5 |
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| Enthalten in: |
SN comprehensive clinical medicine - 5(2023), 1 vom: 24. Okt. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Panchal, Ishita [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Atelectasis |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s42399-023-01595-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Abstract Hyperlucent lung syndrome or Swyer-James-Macleod syndrome is a rare, often incidental finding, primarily showing unilateral hyperlucency as a consequence of bronchiolitis obliterans. Often diagnosed in early childhood, though in some cases, it may only be discovered in adulthood or on account of recurrent chest infections. An 88-year-old patient presented to our outpatient center with complaints of shortness of breath with mild to moderate exertional dyspnea and exacerbations of symptoms classically associated with chronic obstructive pulmonary disease. Complaints have persisted for several years with waxing and waning intensity. There is a history of migraine, atrial fibrillation, hypothyroidism, and colon and breast cancer without recurrence. Computed tomography of the chest with intravenous contrast showed asymmetric emphysematous changes with marked hyperinflation and attenuated vasculatures confined to the middle lobe of the right lung. The patient was started on a combination of inhaled long-acting beta-agonists, corticosteroids, and long-acting muscarinic antagonists and is almost asymptomatic. Geriatric patients are at increased risk of various age-related diseases, respiratory disorders being among them. Knowledge of this rare condition allows for its appropriate management as it often coexists with bronchiectasis and results in frequent respiratory infections, which may be preventable. | ||
| 650 | 4 | |a Hyperinflation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Unilateral emphysema |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hyperlucent lung |7 (dpeaa)DE-He213 | |
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