Pediatr Allergy Respir Dis.  2001 Dec;11(4):369-373.

A Case of Swyer-James Syndrome

• Park HJ
• Han SH
• Lee JH
• Kim JT
• Chung SY
• Kang JH
• Kim KJ
• Lee JS

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.

Keyword

Swyer-James syndrome; Unilateral hyperlucent lung

MeSH Terms

Bronchiolitis Obliterans
Child
Child, Preschool
Cough
Exercise Tolerance
Failure to Thrive
Humans
Lung
Lung Diseases
Lung, Hyperlucent*
Male
Pediatrics
Pneumonia, Bacterial
Radiography
Thorax