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从肺透亮度增加到肺动脉高压:一例斯怀尔-詹姆斯-麦克劳德综合征病例报告

From Pulmonary Hyperlucency to Pulmonary Hypertension: A Case Report of Swyer-James-MacLeod Syndrome.

作者信息

Montoya L Juan Pablo, Vasquez Juan, Uribe González Ricardo, Guzman-Medina Manuela, Palacio-Arango Valentina

机构信息

Cardiology, Clínica Especializada EMMSA, Medellín, COL.

Radiology, Clínica Somer, Clínica Especializada EMMSA, Medellin, COL.

出版信息

Cureus. 2025 Jul 6;17(7):e87392. doi: 10.7759/cureus.87392. eCollection 2025 Jul.

Abstract

Swyer-James-MacLeod syndrome (SJMS) is a rare condition characterized by unilateral pulmonary hyperlucency and vascular alterations secondary to post-infectious bronchiolitis obliterans. It is also an underdiagnosed disease due to the nonspecificity of its symptoms, which highlights the importance of complementary imaging studies for its identification. Although treatment is mostly conservative, in selected cases, surgical management can improve the prognosis and quality of life of patients. We present the case of an adult female with recurrent respiratory infections in childhood who had an incidental diagnosis of SJMS with pulmonary hypertension as a complication.

摘要

斯怀尔-詹姆斯-麦克劳德综合征(SJMS)是一种罕见病症,其特征为单侧肺透亮度增加以及继发于感染后闭塞性细支气管炎的血管改变。由于其症状不具有特异性,它也是一种诊断不足的疾病,这凸显了辅助成像检查对其诊断的重要性。尽管治疗大多采取保守方式,但在某些特定病例中,手术治疗可改善患者的预后和生活质量。我们报告了一例成年女性病例,该患者童年时有反复呼吸道感染史,偶然诊断为SJMS并伴有肺动脉高压这一并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c4/12325120/e1797e06ddb1/cureus-0017-00000087392-i01.jpg

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