Shrinking Lung Syndrome in a 14‐Year‐Old Boy with Systemic Lupus Erythematosus
Identifieur interne : 001C58 ( Main/Exploration ); précédent : 001C57; suivant : 001C59Shrinking Lung Syndrome in a 14‐Year‐Old Boy with Systemic Lupus Erythematosus
Auteurs : Polly J. Ferguson [États-Unis] ; Miles Weinberger [États-Unis]Source :
- Pediatric Pulmonology [ 8755-6863 ] ; 2006-02.
English descriptors
- Teeft :
- Acute onset, Alveolar volume, Care unit, Chest radiograph, Clin, Corticosteroid, Diaphragmatic, Diaphragmatic dysfunction, Diaphragmatic movement, Diaphragmatic weakness, Differential diagnosis, Dlco, Dysfunction, Dyspnea, Erythematosus, Inspiratory, Inspiratory pressure, Interstitial lung disease, Iowa city, Lung syndrome, Lungs syndrome, Lupus, Mayo clin proc, Methotrexate, Muscle weakness, Ndings, Oxygen saturations, Parenchymal lung, Pediatric, Pleural adhesions, Pleuritic, Pleuritic chest pain, Pred, Pred dlco, Pulmonary function, Pulmonary function testing, Pulmonary function tests, Pulmonary symptoms, Respiratory effort, Respiratory rate, Respiratory symptoms, Restrictive lung disease, Rheumatol, Syndrome, Systemic, Systemic lupus erythematosus, Unexplained dyspnea, Vital capacity.
Abstract
Pulmonary complications occur frequently in people with systemic lupus erythematosus. We report on an adolescent with an acute onset of dyspnea and pleuritic chest pain with severe restrictive lung physiology on pulmonary function testing (forced vital capacity, 20% of predicted) who had no evidence of parenchymal lung or pleural disease. He was found to have restricted diaphragmatic movement as assessed by fluoroscopy, without evidence of generalized respiratory muscle weakness. His clinical presentation and results of diagnostic tests were typical for shrinking lung syndrome. Given the rarity of shrinking lung syndrome in the pediatric age range, many clinicians are not aware of it as a clinical entity. Shrinking lung syndrome should be included in the differential diagnosis of dyspnea in both children and adults with systemic lupus erythematosus. Pediatr Pulmonol. © 2005 Wiley‐Liss, Inc.
Url:
DOI: 10.1002/ppul.20357
Affiliations:
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We report on an adolescent with an acute onset of dyspnea and pleuritic chest pain with severe restrictive lung physiology on pulmonary function testing (forced vital capacity, 20% of predicted) who had no evidence of parenchymal lung or pleural disease. He was found to have restricted diaphragmatic movement as assessed by fluoroscopy, without evidence of generalized respiratory muscle weakness. His clinical presentation and results of diagnostic tests were typical for shrinking lung syndrome. Given the rarity of shrinking lung syndrome in the pediatric age range, many clinicians are not aware of it as a clinical entity. Shrinking lung syndrome should be included in the differential diagnosis of dyspnea in both children and adults with systemic lupus erythematosus. 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