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Reiterer, F; Grossauer, K; Pfleger, A; Häusler, M; Resch, B; Eber, E; Popper, H; Urlesberger, B.
Severe primary pulmonary lymphangiectasis in a premature infant: management and follow up to early childhood.
Pediatr Int. 2015; 57(1):166-169 Doi: 10.1111/ped.12416 (- Case Report)
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Führende Autor*innen der Med Uni Graz
Reiterer Friedrich
Co-Autor*innen der Med Uni Graz
Eber Ernst
Großauer Karin
Haeusler Martin
Pfleger Andreas
Popper Helmuth
Resch Bernhard
Urlesberger Berndt
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Abstract:
Primary pulmonary lymphangiectasis (PPL) is a rare congenital developmental abnormality of the lung with a generally poor prognosis. Only a limited number of patients with neonatal-onset PPL have been reported to survive. We present the case of a male preterm infant (gestational age 34 weeks 6 days) with histologically confirmed PPL, complicated by hydrops fetalis, bilateral hydrothorax (treated in utero with pleuro-amniotic shunts), and immediate respiratory distress at birth. He survived after extensive neonatal intensive care therapy and was discharged home at the age of 7 months. At last follow up he was 3 years 7 months old, still requiring assisted ventilation via tracheostomy, having recurrent episodes of wheezing and had mild global developmental delay. This case demonstrates that survival beyond the neonatal period is possible even with severe PPL but long-term morbidity may be relevant, and multidisciplinary management and close follow up are essential. © 2015 Japan Pediatric Society.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Biopsy -
Disease Management -
Female -
Humans -
Infant, Newborn -
Infant, Premature -
Infant, Premature, Diseases - diagnosis
Infant, Premature, Diseases - therapy
Lung Diseases - congenital
Lung Diseases - diagnosis
Lung Diseases - therapy
Lymphangiectasis - congenital
Lymphangiectasis - diagnosis
Lymphangiectasis - therapy
Male -
Pregnancy -
Tomography, X-Ray Computed -

Find related publications in this database (Keywords)
follow up
hydro-chylothorax
pleuro-amniotic shunt
preterm infant
primary pulmonary lymphangiectasis
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