© 2002 Archives of Disease in Childhood
LETTER
Scimitar syndrome as a differential diagnosis in a child with recurrent wheeze
Department of Paediatrics, St John’s Hospital, Chelmsford CM2 9B, UK; prpravin@yahoo.com
Keywords: scimitar syndrome variant; partial anomalous venous drainage
| The first 150 words of the full text of this article appear below. |
Respiratory symptoms of cough, wheeze, and breathlessness account for 40% of referrals to a general paediatric clinic. The majority of these children suffer from "wheeze secondary to upper respiratory tract infection" and "asthma".
A 7 year old girl was referred by her general practitioner to the clinic with a two month history of persistent cough and recurrent wheeze; she had been treated for suspected asthma with fluticasone and salbutamol since early childhood. There was a history of infantile eczema. She was growing well on the 50th centile. General examination was normal. There was no cyanosis or clubbing. Respiratory and cardiovascular system examinations were unremarkable.
She had been admitted at the age of 14 months with cough and wheeze; chest x ray showed right lower lobe consolidation which improved on antibiotics. Both radiographs were studied and the pattern of curvilinear density (scimitar) in the right lower zone suggestive of scimitar syndrome
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