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Case for diagnosis: 4‐month‐old infant with increasing cough, hemoptysis, and anemia
Author(s) -
Snijders D.,
Stenghele C.,
Monciotti C.,
Piccolo R. Lo,
Alaggio R.,
Za G.F.,
Barbato A.
Publication year - 2007
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.20600
Subject(s) - medicine , bronchoalveolar lavage , bronchoscopy , thorax (insect anatomy) , lung , pathology , productive cough , anemia , cytology , histology , lesion , radiology , surgery , anatomy
A 4‐month‐old caucasian infant presented non‐productive cough, fever associated with hemoptysis, and increasing anemia. He had mild tachypnoea; routine lab tests were normal. The thoracic HRCT scan showed a very large mass in the right lung adherent to the thorax wall, well defined and limiting the medium and upper lobe; the mass was well vascularized, and with central hypodensic areas. Fiberoptic bronchoscopy and bronchoalveolar lavage (BAL) cytology were normal. The definitive histology of the mass showed the presence of inflammatory cells admixed with fibroblasts and rare Touton giant cells in the lesion suggestive of a juvenile xanthogranuloma (JXG) of the lung. Pediatr Pulmonol. 2007; 42:844–846. © 2007 Wiley‐Liss, Inc.