Swyer-James-Macleod Syndrome in a Geriatric Patient: a Case Report

Abstract

Hyper-lucent lung syndrome or Swyer-James-Macleod syndrome is a rare, often an incidental nding, primarily showing unilateral hyper-lucency as a consequence of bronchiolitis obliterans. Often diagnosed in early childhood; though in some cases it may only be discovered in adulthood or on account of recurrent chest infections. Case Presentation:A patient presented to our outpatient center with complaints of shortness of breath with mild to moderate exertional dyspnea & exacerbations of symptoms classically associated with chronic obstructive pulmonary disease. Complaints have persisted for several years with waxing & waning intensity. There is a history of migraine, atrial brillation, hypothyroidism, and colon & breast cancer without recurrence.Computed tomography of the chest with intravenous contrast showed asymmetric emphysematous changes with marked hyperin ation & attenuated vasculatures con ned to the middle lobe of the right lung.The patient was started on a combination of inhaled long-acting beta-agonists, corticosteroids & longacting muscarinic antagonists and is almost asymptomatic. Conclusion:Geriatric patients are at increased risk of various age-related diseases, respiratory disorders being among them. Knowledge of this rare condition allows for its appropriate management as it often coexists with bronchiectasis & results in frequent respiratory infections, which may be preventable.