Omar Muhammad, Saeed Muhammad Ahsan, Patil Amol
Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota.
Division of Pulmonary, Critical Care, Sleep and Allergy, University of Nebraska Medical Center, Omaha, Nebraska.
S D Med. 2019 Nov;72(11):518-520.
Swyer-James-Macleod syndrome is a rare radiologic entity with radiolucent lung fields which could include the entire lung, a lobe or a subsegment. The pathogenesis is unclear but is thought to be related to childhood pulmonary viral and non-viral infections with subsequent vascular and alveolar distortion. It usually presents incidentally in asymptomatic patients on imaging, but could present with recurrent pulmonary infections, shortness of breath, cough, hemoptysis or bronchiectasis. Treatment is usually observation if asymptomatic, but could potentially include inhaled steroids, bronchodilators, lobectomy segmentectomy or pneumonectomy depending on the clinical condition and severity of the symptoms. We present a case of SJMS found in a asymptomatic patient along with a brief literature review.
斯威耶-詹姆斯-麦克劳德综合征是一种罕见的影像学表现，其肺部透亮度增加，可累及整个肺、一个肺叶或一个肺亚段。其发病机制尚不清楚，但被认为与儿童期肺部病毒和非病毒感染以及随后的血管和肺泡扭曲有关。它通常在影像学检查时偶然发现于无症状患者，但也可能表现为反复肺部感染、气短、咳嗽、咯血或支气管扩张。如果无症状，通常采取观察治疗，但根据临床情况和症状严重程度，可能包括吸入类固醇、支气管扩张剂、肺叶切除术、肺段切除术或全肺切除术。我们报告一例在无症状患者中发现的斯威耶-詹姆斯-麦克劳德综合征病例，并进行简要的文献综述。
