AI Article Synopsis

  • Swyer-James-MacLeod syndrome is a rare lung disorder characterized by one lung being unusually clear on X-rays, often diagnosed incidentally due to its lack of symptoms.
  • The condition may stem from childhood infections like bronchiolitis, leading to a history of respiratory issues such as recurrent infections, breathlessness, and coughing.
  • Correct diagnosis is crucial, as it can be mistaken for other conditions like asthma or pulmonary embolism, which might lead to incorrect treatments; this case report highlights a 38-year-old patient diagnosed via chest X-ray and CT scans.

Article Abstract

Swyer-James-MacLeod syndrome is a rare pulmonary disorder that exhibits unilateral hyperlucency of a part of or the entire lung and because it is usually asimptomatic the diagnostic of this illness is discovered accidentally after a chest X-ray. Although the cause of this disorder is not completely understood, most authors believe that this is due to late sequela of infectious bronchiolitis that occurs during childhood. The symptoms presented by the individuals are often scarce at the moment of diagnostic, but a history of recurrent episodes of pulmonary infection accompanied by dyspnea, hemoptysis and/or chronic productive cough should raise the suspicion for such a diagnosis. Swyer-James-MacLeod syndrome can be interpreted as asthma or pulmonary embolism and this can result in inappropriate therapy. This case report describes a 38-year-old patient with chronic respiratory symptoms diagnosed on the findings of the chest X-ray and high resolution CT.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060287PMC
http://dx.doi.org/10.26574/maedica.2018.13.2.143DOI Listing

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  • A report of a 23-year-old Kenyan woman illustrates the challenges of diagnosing SJMS given her lengthy clinical history of respiratory issues, emphasizing the need for careful evaluation and possibly advanced imaging to identify the condition.
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We present a rare finding on lung ventilation-perfusion (V/Q) scintigraphy for a woman with longstanding dyspnea. CT of the chest showed volume loss on the right side, which raised concern about possible bronchiolitis obliterans or Swyer-James-MacLeod syndrome; however, the right pulmonary artery could not be visualized. A subsequent V/Q scan showed absence of perfusion and decreased ventilation to the entire right lung, consistent with agenesis of the right pulmonary artery.

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