| Reccurent Unilateral Lung Collapse in an Asthmatic Child |
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Yul-Yi Yeon, Kyung-Yil Lee, Dong-Jun Lee, Ji-Whan Han, Sung-Soo Hwang, Kyong-Su Lee |
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Department of Pediatrics, Catholic University Medical College, Seoul, Korea |
| 재발성 일측성 무기폐를 보인 기관지 천식 1례 |
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연율이, 이경일, 이동준, 한지환, 황성수, 이경수 |
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가톨릭대학교 의과대학 소아과학교실 |
Correspondence:
Yul-Yi Yeon, Email: 1
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| Abstract |
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Abnomalities in the production and transport of airway secretions play an important role in the
pathophysiology of asthma. Segmental atelectasis as a complication of asthma, is relatively common
in children. On the other hand, massive atelectasis such as the collapse of one lung is a very
rare occurence. We report a seven-year-old male asthmatic patient with right lung collapse caused
by mucoid impaction. Fourteen months before admission, the patient experiened bronchopneumonia
with left unilateral lung collapse due to mucus plugging and recovered by bronchoscopic removal.
The clinical findings, chest X-ray and chest CT suggested the collapse of the right lung was
caused by mucus plugging. Fiberoptic bronchoscopy revealed the obstruction of the right main
bronchus due to thick mucoid impaction. The histologic finding of mucoid material removed by
brochoscopy showed only eosinophil clusters. In addition to fibroptic broncoscopic removal of
mucoid secretions, hydration, chest physiotherapy, brochodilators and steroids, the patient received
tracheostomy because of difficulty in sputum expectoration, poor improvement of clinical symptoms
and chest X-ray findings, with rapid improvements. This case showed that early aspiration of
bronchial mucoid secretions by bronchoscopy and tracheostomy was very critical, without waiting
for a further deterioration of respiratory function. |
| Key Words:
Atelectasis, Bronchial asthma, Fiberoptic bronchoscopy, Mucoid impaction, Mucus plugging |
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