Clinical spectrum of Swyer-James-Macleod syndrome in adults.

Abstract

OBJECTIVE:

The aim of this study is to describe the clinical and imaging features of Swyer-James-Macleod syndrome (SJMS) in 9 adults.

METHODS:

We reviewed the charts of 9 patients diagnosed with SJMS at the King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia over a 10 year period.

RESULTS:

The patients mean age was 38.1 years; males were more affected than females (7:2). Seven of the patients had symptoms referable to the chest and a similar number had compatible abnormalities on physical examination. The left lung was involved in all cases. Bronchiectasis was present in 7 (77.8%). Eight patients who underwent pulmonary function tests had combined defects. Two patients demonstrated significant reversibility. All patients had a stable course over at least before a 3 year follow-up period.

CONCLUSION:

Swyer-James-Macleod syndrome has a diverse manifestations in adults and can mimic other pulmonary disorders, which may lead to incorrect diagnosis and inappropriate therapy. The course is generally a stable one.

• Authors: Abdullah A Abba, Abdullah F Al-Mobeireek
• Journal: Saudi medical journal (Saudi Med J) Vol. 24 Issue 2 Pg. 195-8 (Feb 2003) ISSN: 0379-5284 [Print] Saudi Arabia
• PMID: 12682687 (Publication Type: Journal Article)

Topics

• Adult
• Bronchiectasis (diagnosis)
• Female
• Humans
• Lung, Hyperlucent (diagnosis)
• Male
• Middle Aged
• Retrospective Studies
• Ventilation-Perfusion Ratio