Vieira Gabriel de Deus, Yamagishi Alessandra Yukari, Vieira Natália Nogueira, Fogaça Rebeka Mayara Miranda Dias, Alves Thaianne da Cunha, Amaral Gisele Megale Brandão Gurgel, Sousa Camila Maciel de
Medical Department, Faculdade São Lucas, Porto Velho, RO, Brazil.
Hospital Infantil Cosme e Damião, Porto Velho, RO, Brazil.
Rev Assoc Med Bras (1992). 2015 Sep-Oct;61(5):404-6. doi: 10.1590/1806-9282.61.05.404.
Swyer-James syndrome is a complication of post-infectious bronchiolitis obliterans that causes inflammation and fibrosis of the bronchial walls. There are two types: asymptomatic, with most cases diagnosed in adults during routine radiological examinations; and symptomatic, most commonly found in children. Here, we report the case of a 6-year-old child with recurrent dyspnea since the age of 3, who showed signs and symptoms of bronchiolitis obliterans and radiological signs of bronchial wall thickening and air trapping. The clinical and radiological findings led to the diagnosis of Swyer-James syndrome. Treatment of this syndrome is intended to reduce the pulmonary lesions and improve the patient's quality of life.
斯怀尔-詹姆斯综合征是感染后闭塞性细支气管炎的一种并发症,可导致支气管壁炎症和纤维化。它有两种类型:无症状型,大多数病例在成人常规放射学检查时被诊断;有症状型,最常见于儿童。在此,我们报告一例6岁儿童病例,该患儿自3岁起反复出现呼吸困难,表现出闭塞性细支气管炎的体征和症状以及支气管壁增厚和空气潴留的放射学征象。临床和放射学检查结果导致该患儿被诊断为斯怀尔-詹姆斯综合征。该综合征的治疗旨在减轻肺部病变并改善患者生活质量。