Cases Diagnosed with Swyer James Macleod Syndrome in Adulthood

Aksoy, Emine; Aktaş, Oğuz; Tokgöz, Fatma; Kongar, Nilüfer; Gökşenoğlu, Nezihe Çiftaslan; Bodur, Yasemin; Güran, Salih; Sevim, Tülin

doi:10.5152/ttd.2014.4052

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Swyer-James-MacLeod syndrome was first reported in 1953 by Swyer and James in a 6-year-old boy [ 5 ] and in 1954, Macleod described the syndrome in nine adults with unilateral lung hyperlucency [ 6 ]. The prevalence of this syndrome has been reported to be 0.01% [ 7 ]. Swyer-James-MacLeod syndrome is typically diagnosed in childhood.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Exacerbations of Chronic Obstructive Pulmonary Disease Reveal Swyer-James-MacLeod Syndrome in a 63-year-old Patient

Chlapoutakis¹,

Garmpi²,

Τράκας³

et al. 2021

Cureus

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Swyer-James-Macleod syndrome is an infrequent clinical condition characterized by unilateral hyperlucent lung as a complication following infectious bronchiolitis obliterans, typically diagnosed during childhood. However, in some patients, the diagnosis may be confirmed in adulthood. The syndrome can be misdiagnosed with other lung disorders such as asthma, pulmonary embolism, and pneumothorax, leading to inappropriate management and worse outcome. We present a case of Swyer-James-MacLeod syndrome, diagnosed in a 63-year-old man, with frequent hospitalisations due to chronic obstructive pulmonary disease (COPD) exacerbations without a history of significant lung infection in childhood. Complications of Swyer-James-MacLeod syndrome include recurrent infections, lung abscess, pneumothorax, and pulmonary hypertension. The syndrome should always be considered in adults with recurrent respiratory infections or pulmonary hyperlucency on chest imaging to prevent a delay in correct diagnosis and improper treatment.

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Section: Discussionmentioning

confidence: 99%

Recurrent Exacerbations of Chronic Obstructive Pulmonary Disease Reveal Swyer-James-MacLeod Syndrome in a 63-year-old Patient

Chlapoutakis¹,

Garmpi²,

Τράκας³

et al. 2021

Cureus

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“…Tek taraflı hiperlüsen akciğerin ayırıcı tanısı, parankimal akciğer hastalıkları (tek taraflı amfizem veya büllöz akciğer), hava yolu hastalıkları (yabancı cisim aspirasyonu, endobronşiyal lezyon, konjenital lober amfizem, bronşiyal atrezi), vasküler hastalıkları (pulmoner agenezi veya hipoplazi, simitar sendromu, tek taraflı santral pulmoner tromboemboli), plevral hastalıklar (pnömotoraks) ve göğüs duvarı hastalıklarını (Poland sendromu, skolyoz) içermektedir (11). Olgumuza ayırıcı tanı planı ile çekilen kontrastlı toraks BT'de sol pulmoner arter ve dallarının kalibrasyonunun sağa oranla belirgin azaldığı, aynı taraflı hiperlüsen akciğer görünümü olduğu ve sol akciğer alt lobda belirgin hacim kaybı ile bronşiektazi alanları olduğu gözlendi.…”

Section: Resim 3 Sol Akciğerde çOk Sayıda Perfüzyon Defektiunclassified

Swyer-James (Macleod) Sendromu: Bir olgu nedeniyle

Çolak

SARIOĞLU

2022

Balıkesir Medical Journal

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Swyer-James-MacLeod Syndrome (SJMS) is a rare disease characterized by a hyperlucent lung appearance due to hypoplasia of the pulmonary artery on the affected side. It is thought to develop secondary to viral bronchiolitis and pneumonia in childhood. A 59-year-old female patient presented with the complaints of dyspnea with exertion, a feeling of pressure in the chest, and sputum. On physical examination, respiratory sounds were normal. Posteroanterior (PA) chest X-ray showed marked hyperlucency and volume loss in the left hemithorax. On thorax computed tomography, ipsilateral hyperlucency with a significant decrease in the calibration of the left pulmonary artery and its branches compared to the right, significant volume loss in the lower lobe of the left lung and areas of bronchiectasis were observed. While large segmental perfusion defects were observed in almost the entire lower lobe of the left lung and in the lingular segment in perfusion scintigraphy, ventilation defects were observed in these areas in ventilation scintigraphy. The patient was diagnosed with SJMS based on the present findings. Treatment of the disease is conservative in most cases. It is recommended to protect patients against infections and to have flu and pneumococcal vaccines. We present our case to emphasize that this syndrome should be among the differential diagnoses when unilateral hyperlucent lung appearance is detected.

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“…This way, the affected areas would become hypoventilated, with hypoxic vasoconstriction. (AKSOY, et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, for all patients with this syndrome, the importance of an updated vaccination record is reinforced in order to avoid recurrent infections, especially against influenza and pneumococcus. (AKSOY, et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Swyer-James Syndrome in a Patient Admitted for Investigation of Pulmonary Thromboembolism

Botto,

Faleiros,

Machado

et al. 2024

JHS

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Unilateral hyperlucent lung syndrome, initially described by Swyer-James-Macleod (SJMS) in 1953, is considered a post-infectious complication of bronchiolitis occurring in childhood and is characterized by airflow obstruction and a decrease in the number and diameter of ipsilateral peripheral pulmonary vessels. It is a relatively uncommon and complex disease. In the literature, small groups of patients with this syndrome have been described. This article refers to a male patient, 64 years old, smoker for 80 pack-years, admitted for investigation of pulmonary thromboembolism, after presenting with dyspnea, tachypnea and desaturation. After performing a chest tomography, cylindrical cystic bronchiectasis on the left was revealed, affecting segmental and subsegmental bronchi, notably in the lower lobe and lingula, associated with volumetric reduction of the left lung, with deviation of the ipsilateral mediastinum, as well as pulmonary reticulation. Transthoracic echocardiography and arterial tomography angiography of the chest were also performed, where pulmonary thromboembolism was ruled out and an abnormal image was visualized with a hypertransparent area in his left lung, drawing the attention of the team responsible for the case. SJMS can be confused with asthma or pulmonary embolism due to similar symptoms, and because of this, it can result in inappropriate therapy. This study aimed to examine the clinical and imaging spectrum of a patient diagnosed with Swyer-James-Macleod in adulthood. Therefore, a brief review of the relevant literature was carried out to better understand the subject.

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Cases Diagnosed with Swyer James Macleod Syndrome in Adulthood

Cited by 9 publications

References 14 publications

Recurrent Exacerbations of Chronic Obstructive Pulmonary Disease Reveal Swyer-James-MacLeod Syndrome in a 63-year-old Patient

Recurrent Exacerbations of Chronic Obstructive Pulmonary Disease Reveal Swyer-James-MacLeod Syndrome in a 63-year-old Patient

Swyer-James (Macleod) Sendromu: Bir olgu nedeniyle

Swyer-James Syndrome in a Patient Admitted for Investigation of Pulmonary Thromboembolism

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