Clinical Studies in Five Cases of Swyer-James Syndrome.
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- Oh-ishi Shuji
- Department of Internal Medicine, Self Defense force Sapporo Hospital The Third Department of Internal Medicine, National Defense Medical College
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- Hitomi Hideaki
- Department of Internal Medicine, Self Defense force Sapporo Hospital The Third Department of Internal Medicine, National Defense Medical College
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- Sakai Masao
- The Third Department of Internal Medicine, National Defense Medical College
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- Kobayashi Hideo
- The Third Department of Internal Medicine, National Defense Medical College
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- Nagata Naokazu
- The Third Department of Internal Medicine, National Defense Medical College
Bibliographic Information
- Other Title
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- Swyer‐James症候群5例の臨床的検討
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Abstract
We encountered five patients with Swyer-James syndrome. All were men, and ranged in age from 20 to 70 years (mean, 41 years). Their chest X-ray films showed left unilateral hyperlucency. Examinations revealed bilateral involvement in 3 cases and irregularity of involved regions in 2 cases. Chest CT scans revealed the distribution and severity of affected regions in greater detail than did other radiologic exams. Delayed clearance of xenon is a sign of air trapping, which is characteristics of this syndrome. Thus, 133Xe inhalation scintigrams were useful to detect air trapping, especially when mediastinal shift was not apparent on chest X-ray films. Bronchial damage is believed to cause this syndrome, and the present findings support this view. It is noteworthy that all five of these patients were men, and that in all five the affected lung was on the left. Moreover, although “respiratory tract infection is considered to be a very important” factor, many patients had no history of airway infection in childhood. Thus, some congenital factor or factors may contribute to the development of this syndrome.
Journal
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- The Japanese journal of thoracic diseases
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The Japanese journal of thoracic diseases 33 (12), 1401-1407, 1995
The Japanese Respiratory Society
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Details 詳細情報について
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- CRID
- 1390282679994365312
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- NII Article ID
- 130003450369
- 10006189739
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- NII Book ID
- AN00187758
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- ISSN
- 1883471X
- 03011542
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- PubMed
- 8821994
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- Text Lang
- ja
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- Data Source
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- JaLC
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed