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Pseudo Pectus Excavatum in the Newborn Due to Lower Respiratory Tract Disease

Pseudo Pectus Excavatum in the Newborn Due to Lower Respiratory Tract Disease Abstract Pectus excavatum or funnel chest is one of the most obvious deformities of the chest. It is usually congenital in origin, but it may be associated with respiratory tract obstruction or rickets.1 Lester2 has observed an acquired funneling of the lower sternum which occurs in the newborn infant after the onset of lower respiratory tract disease. He has called this condition pseudo pectus excavatum. The purpose of this communication is to report our observation of nine newborn infants who had normal anterior chest walls at birth, all of whom suffered respiratory-distress and developed pectus excavatum shortly after the onset of dyspnea. Clinical Observations On the nursery services of two large general hospitals 4,216 consecutive infants were observed; 451 (10.7%) were premature (Table 1).None of the infants had thoracic cage abnormalities at birth. Obvious lower sternal depression was present, however, in nine infants, seven of whom were References 1. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, p. 753. 2. Lester, C. W.: The Etiology and Pathogenesis of Funnel Chest, Pigeon Breast, and Related Deformities of the Anterior Chest Wall , J. Thoracic Surg. 34:1, 1957. 3. Grant, J. C. B.: A Method of Anatomy , Ed. 5, Baltimore, The Williams & Wilkins Company, 1952, p. 512. 4. Best, C. H., and Taylor, N. B.: The Physiological Basis of Medical Practice , Ed. 6, Baltimore, The Williams & Wilkins Company, 1955, p. 350. 5. Gray, H.: Anatomy of the Human Body , Ed. 25, edited by C. H. Goss, Philadelphia, Lea & Febiger, 1948, p. 281. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Pseudo Pectus Excavatum in the Newborn Due to Lower Respiratory Tract Disease

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1959.02070010866016
Publisher site
See Article on Publisher Site

Abstract

Abstract Pectus excavatum or funnel chest is one of the most obvious deformities of the chest. It is usually congenital in origin, but it may be associated with respiratory tract obstruction or rickets.1 Lester2 has observed an acquired funneling of the lower sternum which occurs in the newborn infant after the onset of lower respiratory tract disease. He has called this condition pseudo pectus excavatum. The purpose of this communication is to report our observation of nine newborn infants who had normal anterior chest walls at birth, all of whom suffered respiratory-distress and developed pectus excavatum shortly after the onset of dyspnea. Clinical Observations On the nursery services of two large general hospitals 4,216 consecutive infants were observed; 451 (10.7%) were premature (Table 1).None of the infants had thoracic cage abnormalities at birth. Obvious lower sternal depression was present, however, in nine infants, seven of whom were References 1. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, p. 753. 2. Lester, C. W.: The Etiology and Pathogenesis of Funnel Chest, Pigeon Breast, and Related Deformities of the Anterior Chest Wall , J. Thoracic Surg. 34:1, 1957. 3. Grant, J. C. B.: A Method of Anatomy , Ed. 5, Baltimore, The Williams & Wilkins Company, 1952, p. 512. 4. Best, C. H., and Taylor, N. B.: The Physiological Basis of Medical Practice , Ed. 6, Baltimore, The Williams & Wilkins Company, 1955, p. 350. 5. Gray, H.: Anatomy of the Human Body , Ed. 25, edited by C. H. Goss, Philadelphia, Lea & Febiger, 1948, p. 281.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1959

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