Williams—Campbell’s syndrome in children
Abstract
Results of follow-up in 27 patients with Williams—Campbell’s syndrome was present in the article. It was shown, that disease defining anatomical defect leads in children to formation of chronic obstructive bronchopulmonary process with suppurative endobronchitis, diffuse located sacculative bronchiectasia, and pneumosclerosis. The clinical symptoms manifestate in 96.3% of patients during first three years after birth and are characterised by intermittent cases of pneumonia and bronchoobstructive syndrome.
During Williams—Campbell’s syndrome course, diffuse suppurative bronchitis or bronchial suppurative catarrh with chronic course, as well as great number of tracheobronchial tree abnormalities, are character for endoscopic view. The coupling of anamnestic data, clinical signs, and typical changes in bronchogramms and spirogramms allow to diagnose lighter Williams—Campbell’s syndrome. The disease prognosis is serious. It is defined directly by extent of bronchopulmonary process and depends on pulmonary hypertension and cor pulmonale developing.
About the Authors
I. K. VolkovRussian Federation
S. V. Rachinskiy
Russian Federation
O. F. Lukina
Russian Federation
A. P. Ivanov
Russian Federation
B. A. Markov
Russian Federation
References
1. Болезни органов дыхания у детей / Под ред. С.В. Рачинского, В.К. Таточенко.— М., 1987.
2. Волков И.К. Диагностическая и терапевтическая эффективность бронхоскопии при хронических и рецидивирующих бронхолегочных заболеваниях у детей: Дис.... д-ра мед. наук.— М., 1993.
3. Врожденные и наследственные заболевания легких у детей / Под ред. Ю.Е. Вельтищева, С.Ю. Каганова, В. Таля.— М., 1986.
4. Миршанова JI.H. Патоморфологические исследования врожденных пороков легких у плодов и новорожденных / / Пороки развития и генетически обусловленные формы хронических * неспецифических заболеваний легких.— Л., 1976.— С.58—59.
5. Токарев Н.В. Распространенные пороки развития бронхов у детей: Дис.... канд. мед. наук.— М., 1984.
6. Petranil G. Uber die Bedeutung des Williams-Campbell-Sindroms in der Differentialdiagnose der chronischen Bronchopneumopathien in Kindersalter / / Prax. Pneumol.— 1966.— Bd 20 — S.721— 729.
7. Williams H.E., Campbell P. Generalized bronchiectasis associated with deficiency of cartilage in the bronchial tree / / Arch. Dis Child.— I960.— Vol.35.— P.182— 191.
Review
For citations:
Volkov I.K., Rachinskiy S.V., Lukina O.F., Ivanov A.P., Markov B.A. Williams—Campbell’s syndrome in children. PULMONOLOGIYA. 1995;(4):55-59. (In Russ.)