Affiliation:
1. Jawaharlal Nehru Medical College and Hospital: Jawaharlal Nehru Medical College
2. Smt NHL Municipal Medical College
3. All India Institute of Medical Science - Bhopal
4. Dow University of Health Sciences
5. Houston Methodist Hospital
Abstract
Abstract
Introduction:
Hyper-lucent lung syndrome or Swyer-James-Macleod syndrome is a rare, often an incidental finding, primarily showing unilateral hyper-lucency 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.
Case Presentation:
A patient presented to our outpatient center with complaints of shortness of breath with mild to moderate exertional dyspnea & exacerbations of symptoms classically associated with chronic obstructive pulmonary disease. Complaints have persisted for several years with waxing & waning intensity. There is a history of migraine, atrial fibrillation, hypothyroidism, and colon & breast cancer without recurrence.
Computed tomography of the chest with intravenous contrast showed asymmetric emphysematous changes with marked hyperinflation & 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 & long-acting muscarinic antagonists and is almost asymptomatic.
Conclusion:
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 & results in frequent respiratory infections, which may be preventable.
Publisher
Research Square Platform LLC
Reference66 articles.
1. Khalil KF, Saeed W. Swyer-James-MacLeodSyndrome.JCollPhysiciansSurgPak.2008Mar;18(3):190-2.PMID:18460255.
2. Gopinath A, Strigun D, Banyopadhyay T. Swyer-Jamessyndrome.ConnMed.2005Jun-Jul;69(6):325-7.PMID:16184857.
3. Lucaya J, Gartner S, García-Peña P, Cobos N, Roca I, Liñan S. SpectrumofmanifestationsofSwyer-James-MacLeodsyndrome.JComputAssistTomogr.1998Jul-Aug;22(4):592-7.doi:10.1097/00004728-199807000-00015.PMID:9676450.
4. Abnormal transradiancy of one lung;MACLEOD WM;Thorax
5. Zylak CJ, Eyler WR, Spizarny DL, Stone CH. Developmentallunganomaliesintheadult:radiologic-pathologiccorrelation.Radiographics.2002Oct;22SpecNo:S25-43.doi:10.1148/radiographics.22.suppl_1.g02oc26s25.PMID:12376599.