Pediatr Allergy Respir Dis.  2005 Dec;15(4):451-457.

Bronchiolitis Obliterans with Finger Clubbing after Measles Infection

Affiliations
  • 1Department of Pediatrics, Asthma Allergy Center, Sanggye Paik Hospital, College of Medicine, Inje University Seoul, Korea. kimck@sanggyepaik.ac.kr
  • 2Department of Radiology, Sanggye Paik Hospital, College of Medicine, Inje University Seoul, Korea.

Abstract

A 5-year-old Korean boy was admitted with dyspnea, intermittent cyanosis and finger clubbing. He was diagnosed to be suffering measles pneumonia 3 years ago. Plain radiograph showed collapse of the right lung, mediastinal shifting and infiltration on both lower lung fields. High resolution computerized tomography revealed a central bronchiectasis with mosaic hyperinflation. All of the clinical information indicated that the severity of illness score was 4 of bronchiolitis obliterans (BO). The bronchoalveolar lavage cellular profile showed predominant neutrophilia. BO with finger clubbing has been rarely reported previously in childhood. We report a case of BO with finger clubbing in children with regard to clinical presentation of measles complicated pneumonia.

Keyword

Bronchiolitis obliterans; Measles; Finger clubbing

MeSH Terms

Bronchiectasis
Bronchiolitis Obliterans*
Bronchiolitis*
Bronchoalveolar Lavage
Child
Child, Preschool
Cyanosis
Dyspnea
Fingers*
Humans
Lung
Male
Measles*
Pneumonia
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