Abstract
This case is an example of a rare cause of a common clinical presentation (persistent lobar collapse with wheeze). We describe patient management from primary care through to a national thoracic referral centre. We highlight the importance of objective testing to support an asthma diagnosis and the need to consider alternative or additional diagnoses if a patient does not respond to treatment or the clinical course is unexpected. We highlight the importance of follow-up X-ray to determine whether atelectasis has resolved, which was significantly delayed in this case due to COVID-19 restrictions. Though rare, an endobronchial tumour should be considered if atelectasis persists and when planning endoscopy for a presumed foreign body, especially if the clinical history and patient factors make a foreign body less likely. Greater awareness of this as a differential may expedite diagnoses for patients in future. We show how virtual, multicentre, multidisciplinary meetings can aid rapid diagnosis, surgical planning and coordination of follow-up across centres.
Original language | English |
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Pages (from-to) | 1050-1053 |
Number of pages | 4 |
Journal | Thorax |
Volume | 77 |
Issue number | 10 |
Early online date | 29 Jun 2022 |
DOIs | |
Publication status | Published - Oct 2022 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:©
Keywords
- Bronchoscopy
- COVID-19
- Histology/Cytology
- Paediatric asthma
- Paediatric Lung Disaese
- Rare lung diseases
- Thoracic Surgery
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine