A Case of Swyer-James Syndrome / 소아알레르기및호흡기학회지

ABSTRACT

The Swyer-James Syndrome is a acquired pulmonary disease following bronchiolitis obliterans in young aged children, in which characteristic unilateral hyperlucence radiologically. Since Swyer and James first reported a case in 1953, it also has been named unilateral hyperlucent lung syndrome or MacLeod syndrome. Frequently there are repeated pulmonary infections which cause bacterial pneumonia and brochiectasis. In cases of pulmonary symptoms, it is diagnosed at early childhood, but there will be delayed detection until later ages in asymptomatic ones unless occasional chest radiography. Altogether the syndrome begins at childhood and manifested decreased exercise tolerance and failure to thrive, which means important disorder in pediatrics. Presently we experienced Swyer-James syndrome of 4 years old boy who had productive cough for 1 month diagnosed with a plain chest X-ray, lung computerized tomography and isotope lung scanning.