Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) :: Peer Reviewed Pediatric Radiology Cases: :: The peer reviewed Pediatric Radiology teaching file server / case collection

ID: 20021110223558 ( 551 times read )	(PubMed Reader)
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	Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558 ( There are questions in the CMK-Mode for this topic )
	Images to this case:	[ X-Ray ] [ All ]
	Author/s:	M. Paetzel (Cleveland/USA)
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	Age:	Newborn
	Gender:	N/A
	Region-Organ:	Thorax-Lung
	Most likely etiology:	congenital
	History:	The images shown here were obtained from various premature infants of the 25th-29th gestational week. Postpartally, a respiratory deficiency was noted (moaning). Sometimes a retraction was seen. In the fourth case, cyanosis was noted initially.
	Pathomorphology or Pathophysiology of this disease :	IRDS (idiopathic respiratory distress syndrome. Earlier: Hyaline-Membrane Syndrome) is based on underdeveloped pulmonary surfactant production. The deficiency of the mainly pospholipid surfactant leads to a collapse of the alveoles, which leads to atelectasic ventilation. Also, through the course of the disease, there is an excretion of underdeveloped proteins seen, which deposit themselves in a membrane-like manner (Therefore the old name "hyaline membranes"). This stage is through early treatment now rarely seen.
	Radiological findings:	<- view X-Ray 1 X-Ray 1: Stage 1: slight reticular (slight granular) decrease in transparency of the lung, no certain difference to normal findings. (The matches are used to show size) <- view X-Ray 2 X-Ray 2: Stage 2: Soft decrease in transparency with an aerobronchogram, which overlaps the heart (= always a sign of an alveolar lung reaction!) <- view X-Ray 3 X-Ray 3: Stage 3: like stage 2, but with gradual stronger decrease in transparency, as well as a blurry diaphragm and heart. <- view X-Ray 4 X-Ray 4: Stage 4: White lung: practically homogenic lung opacity. <- view X-Ray 5 X-Ray 5: Synopsis of the changes in Stages I - IV.
	Diagnosis confirmation:	Expert's opinion
	Which DD would be also possible with the radiological findings:	Alveolar respiratory deficiency, wet lung, infection, ARDS (also in newborns, i.e. after infection or blood transfusion), pleural effusion of both sides, pulmonary edema.
	Course / Prognosis / Frequency / Other :	N/A
	Comments of the author about the case:	N/A
	First description / History:	N/A
	Literature:	N/A
	Keywords:	IRDS, premature infant, surfactant deficiency, infantile respiratory distress syndrome, ARDS, child, childhood, pediatric radiology
	Cite this article:	M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558
	Read similar articles:	with corresponding keywords in the same field: Thorax-Lung or in the region: Thorax or in the tissue/organ: Lung or with the etiology: congenital
	Images to this case:	[ X-Ray ] [ All ]
	Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558 ( There are questions in the CMK-Mode for this topic )
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Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) Other cases by these authors: M. Paetzel (10) 1: Distension of the cranial sutures at ALL with meningiosis leucemica 2: Lung abscess due to staphylococci 3: Thalassemia intermedia 4: Lung sequestrum, extralobular 5: Stenosis of the abdominal Aorta in an infant 6: Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) 7: Traumatic liver hemorrhage grade I 8: Nasal fracture 9: Lobar pneumonia without proven pathogen 10: Adrenal calcification after adrenal hemorrhage Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
	Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558 ( There are questions in the CMK-Mode for this topic )
Which diagnosis have other collegues guessed? Wet lung Votes: 0 (0 %) Pulmonary edema Votes: 3 (23 %) ARDS Votes: 5 (38 %) Pleural effusion Votes: 1 (7 %) IRDS Votes: 4 (30 %) Bronchopulmonary dysplasia Votes: 0 (0 %) Total answers: 13
	Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558 ( There are questions in the CMK-Mode for this topic )
Medical Dictionary Search in medical dictionary for Or type in a keyword ( Provided by The On-Line Medical Dictionary ) How interesting was this case for you? (10 = most interesting \|\| 1 = less interesting) This case was evaluated as extremely interesting (Grade 9.2).
	Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS) M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11. URL: www.PedRad.info/?search=20021110223558 ( There are questions in the CMK-Mode for this topic )