Swyer-James-MacLeod syndrome and pulmonary arteriovenous malformations: a rare combination

BMJ Case Rep. 2020 Jan 8;13(1):e231972. doi: 10.1136/bcr-2019-231972.

Abstract

This case describes a female patient who presented with an acute on chronic deterioration in respiratory symptoms, on a background of chronic obstructive pulmonary disease and heavy cigarette smoking. Chest radiograph demonstrated long-standing hyperlucency of the right lower lobe, with further imaging later confirming the rare combination of Swyer-James-MacLeod syndrome and multiple pulmonary arteriovenous malformations within the affected lung.

Keywords: pulmonary emphysema; radiology; respiratory medicine.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arteriovenous Malformations / diagnostic imaging*
  • Arteriovenous Malformations / drug therapy
  • Bronchodilator Agents / therapeutic use
  • Cigarette Smoking
  • Diagnosis, Differential
  • Female
  • Humans
  • Lung, Hyperlucent / diagnostic imaging*
  • Lung, Hyperlucent / drug therapy
  • Muscarinic Antagonists / therapeutic use
  • Nebulizers and Vaporizers
  • Prednisolone / therapeutic use
  • Pulmonary Disease, Chronic Obstructive / diagnostic imaging*
  • Pulmonary Disease, Chronic Obstructive / drug therapy

Substances

  • Bronchodilator Agents
  • Muscarinic Antagonists
  • Prednisolone