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Diaphragmatic Paralysis

Diaphragmatic Paralysis Abstract Sir.—In the December 1975 issue of the Journal (129:1402,1975), Green et al described 16 neonates and children with diaphragmatic paralysis. In this, as well as in other reports,1-3 the paralysis was always secondary to neuromuscular disease or trauma. As no previous cases of diaphragmatic paralysis of unknown cause in infants or children have been reported, I wish to describe such a case. Report of a Case.—A 7½-month-old girl was admitted to the hospital for severe respiratory distress of acute onset. She appeared chronically malnourished. Her breathing was gasping and irregular. The head circumference was 40 cm, and her weight was 4.6 kg. Findings from the examination were otherwise normal. She had never received immunizations. Laboratory data showed severe respiratory and metabolic acidosis. Levels of serum electrolytes, blood urea nitrogen, calcium, magnesium, phosphorus, bilirubin, alkaline phosphatase, creatinine phosphokinase, uric acid, total serum protein, serum immunoglobulins, and blood lead, References 1. Mellins RB, Hays AP, Gold AP, et al: Respiratory distress as the initial manifestation of Werdnig-Hoffmann disease . Pediatrics 53:33-40, 1974. 2. Bucci G, Marzetti S, Picece-Bucci S, et al: Phrenic nerve palsy treated by continuous positive pressure breathing by nasal cannula . Arch Dis Child 49:230-232, 1974.Crossref 3. Alesen LA: Postdiphteritic paralysis of the diaphragm . JAMA 84:730-731, 1925.Crossref 4. Douglass BE, Clagett OT: The prognosis in idiopathic diaphragmatic paralysis . Dis Chest 37:294-297, 1960.Crossref 5. Riley EA: Idiopathic diaphragmatic paralysis: A report of eight cases . Am J Med 32:404-416, 1962.Crossref 6. Poppius H, Varpela E, Korhonen O: Respiratory function and exercise tolerance in relaxation of the diaphragm . Scand J Respir Dis 50:68-75, 1969. 7. Spitzer SA, Korczyn AD, Kalaci J: Transient bilateral diaphragmatic paralysis . Chest 64:355-357, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Diaphragmatic Paralysis

GILBOA, NISAN
American Journal of Diseases of Children , Volume 130 (9) – Sep 1, 1976
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Diaphragmatic Paralysis

Abstract

Abstract Sir.—In the December 1975 issue of the Journal (129:1402,1975), Green et al described 16 neonates and children with diaphragmatic paralysis. In this, as well as in other reports,1-3 the paralysis was always secondary to neuromuscular disease or trauma. As no previous cases of diaphragmatic paralysis of unknown cause in infants or children have been reported, I wish to describe such a case. Report of a Case.—A 7½-month-old girl was admitted to the hospital for...
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1976.02120100126026
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—In the December 1975 issue of the Journal (129:1402,1975), Green et al described 16 neonates and children with diaphragmatic paralysis. In this, as well as in other reports,1-3 the paralysis was always secondary to neuromuscular disease or trauma. As no previous cases of diaphragmatic paralysis of unknown cause in infants or children have been reported, I wish to describe such a case. Report of a Case.—A 7½-month-old girl was admitted to the hospital for severe respiratory distress of acute onset. She appeared chronically malnourished. Her breathing was gasping and irregular. The head circumference was 40 cm, and her weight was 4.6 kg. Findings from the examination were otherwise normal. She had never received immunizations. Laboratory data showed severe respiratory and metabolic acidosis. Levels of serum electrolytes, blood urea nitrogen, calcium, magnesium, phosphorus, bilirubin, alkaline phosphatase, creatinine phosphokinase, uric acid, total serum protein, serum immunoglobulins, and blood lead, References 1. Mellins RB, Hays AP, Gold AP, et al: Respiratory distress as the initial manifestation of Werdnig-Hoffmann disease . Pediatrics 53:33-40, 1974. 2. Bucci G, Marzetti S, Picece-Bucci S, et al: Phrenic nerve palsy treated by continuous positive pressure breathing by nasal cannula . Arch Dis Child 49:230-232, 1974.Crossref 3. Alesen LA: Postdiphteritic paralysis of the diaphragm . JAMA 84:730-731, 1925.Crossref 4. Douglass BE, Clagett OT: The prognosis in idiopathic diaphragmatic paralysis . Dis Chest 37:294-297, 1960.Crossref 5. Riley EA: Idiopathic diaphragmatic paralysis: A report of eight cases . Am J Med 32:404-416, 1962.Crossref 6. Poppius H, Varpela E, Korhonen O: Respiratory function and exercise tolerance in relaxation of the diaphragm . Scand J Respir Dis 50:68-75, 1969. 7. Spitzer SA, Korczyn AD, Kalaci J: Transient bilateral diaphragmatic paralysis . Chest 64:355-357, 1973.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Sep 1, 1976

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