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Newborn With Mild, Self-resolving Respiratory Distress

Newborn With Mild, Self-resolving Respiratory Distress Clinical Review & Education JAMA Pediatrics Clinical Challenge Chiara Oretti, MD; Matteo Bramuzzo, MD; Antonella Trappan, MD; Floriana Zennaro, MD; Sergio Demarini, MD Figure 1. Standard chest radiograph showing hyperexpansion of the right lung, mediastinal shift to the left, and opacified left hemithorax. A female infant was born by vaginal delivery at 39 weeks’ gestation. What Is Your Diagnosis? The Apgar score was 7 at 1 minute and 9 at 5 minutes. Birth weight A. Pleural effusion was 2630 g. She developed a mild, self- B. Pneumonia resolving tachypnea with normal oxygen Quiz at jamapediatrics.com saturation values. Radiography showed a C. Pulmonary agenesis normal right lung and an opacified left hemithorax (Figure 1). No D. Lymphangiectasia additional abnormalities were found. jamapediatrics.com JAMA Pediatrics July 2013 Volume 167, Number 7 669 Clinical Review & Education JAMA Pediatrics Clinical Challenge rudimentarybronchus(aplasia);andgroup3,abortivegrowth(hypo- Diagnosis Pulmonary agenesis plasia). Our patient met criteria for group 1. Embryologically, the lung developsduringthefourthweekoffetallifeasapouchlikelaryngotra- Discussion chealdiverticulumfromtheprimitiveforegutandthenformsthelung Chest computed tomography showed left lung agenesis, left pulmo- buds.Pulmonaryagenesisoraplasiaoccursduetofailureofthediver- naryarteryagenesis,anddilatationofrightpulmonaryveins(Figure2). ticulumtodivideequallybetweenthe2lungbuds.Ifthisbalanceisnot The infant showed normal growth and development and no subse- established, one side will develop normally, while the other will fail to quentsignsofrespiratorydisease.Atage2years,chestcomputedto- develop or undergo limited development. mographyrevealed,asexpected,hypertrophyoftherightlung.There More than http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Newborn With Mild, Self-resolving Respiratory Distress

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References (6)

Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2013.347
pmid
23817851
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education JAMA Pediatrics Clinical Challenge Chiara Oretti, MD; Matteo Bramuzzo, MD; Antonella Trappan, MD; Floriana Zennaro, MD; Sergio Demarini, MD Figure 1. Standard chest radiograph showing hyperexpansion of the right lung, mediastinal shift to the left, and opacified left hemithorax. A female infant was born by vaginal delivery at 39 weeks’ gestation. What Is Your Diagnosis? The Apgar score was 7 at 1 minute and 9 at 5 minutes. Birth weight A. Pleural effusion was 2630 g. She developed a mild, self- B. Pneumonia resolving tachypnea with normal oxygen Quiz at jamapediatrics.com saturation values. Radiography showed a C. Pulmonary agenesis normal right lung and an opacified left hemithorax (Figure 1). No D. Lymphangiectasia additional abnormalities were found. jamapediatrics.com JAMA Pediatrics July 2013 Volume 167, Number 7 669 Clinical Review & Education JAMA Pediatrics Clinical Challenge rudimentarybronchus(aplasia);andgroup3,abortivegrowth(hypo- Diagnosis Pulmonary agenesis plasia). Our patient met criteria for group 1. Embryologically, the lung developsduringthefourthweekoffetallifeasapouchlikelaryngotra- Discussion chealdiverticulumfromtheprimitiveforegutandthenformsthelung Chest computed tomography showed left lung agenesis, left pulmo- buds.Pulmonaryagenesisoraplasiaoccursduetofailureofthediver- naryarteryagenesis,anddilatationofrightpulmonaryveins(Figure2). ticulumtodivideequallybetweenthe2lungbuds.Ifthisbalanceisnot The infant showed normal growth and development and no subse- established, one side will develop normally, while the other will fail to quentsignsofrespiratorydisease.Atage2years,chestcomputedto- develop or undergo limited development. mographyrevealed,asexpected,hypertrophyoftherightlung.There More than

Journal

JAMA PediatricsAmerican Medical Association

Published: Jul 1, 2013

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