J Rhinol.  2020 May;27(1):54-57. 10.18787/jr.2020.00310.

A Child who has Nasal Polyposis Combined with Bronchiectasis

• Kim S
• Kim D
• Bae WY
• Jung JA

• KMID: 2502796
• DOI: http://doi.org/10.18787/jr.2020.00310

Abstract

Nasal polyps are inflammatory lesions of sinonasal tissue that are associated with chronic rhinosinusitis, allergic reaction, and other diseases. Although it is the most common cause of nasal polyps, chronic inflammation of the nasal cavity is not common in children. When nasal polyps are found in childhood, it is important to investigate the cause, such as immunodeficiency disease, cystic fibrosis, primary ciliary dyskinesia, and other syndromes such as Woakes’ syndrome. We report a child who presented with nasal polyps combined with bronchiectasis with a review of related literature.

Keyword

Nasal polyp; Bronchiectasis; Woakes’ syndrome; Cystic fibrosis; Primary ciliary dyskinesia; 비용종; 기관지 확장증; Woakes’ 증후군; 낭성 섬유증; 원발성 섬모운동 이상증

Figure

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  Fig. 1. Endoscopic finding shows nasal polyps with thick viscous discharge of the both nasal cavity.

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  Fig. 2. Radiologic findings. A, B: Three dimensional reconstruction of CT showing widened and low nasal dorsum. C: Axial view of computer tomography showing the hypoplasia of the frontal sinus (arrowhead). D: Sagittal view of computer tomography showing the hypoplasia of the sphenoid sinus (arrow).

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  Fig. 3. Radiologic findings. A: Chest radiography showing bronchial dilatation (Tram track sign, arrows) in both lung. B, C: Chest computer tomography showing that increased broncho-arterial ratio (Signet ring sign, arrowheads), bronchial wall thickening, mucus trapping, lack of bronchial tapering (Tram track sign, black arrows) in both lung.

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