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November 1997, Vol 151, No. 11 >
Article | November 1997

Pathological Case of the Month FREE

V. Rehan, DCh(Lond), MD, MRCP, MRCPI; S. Phillips, MD; C. Fajardo, MD; M. M. K. Seshia, MB, ChB, FRCP(Edin)
Arch Pediatr Adolesc Med. 1997;151(11):1163-1164. doi:10.1001/archpedi.1997.02170480093016.
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THIS INFANT was born at 40 weeks' gestation to a 29-year-old gravida 2, para 0 white woman by vacuum delivery. Birth weight was 3770 g; crown-heel length, 56 cm; head circumference, 35.5 cm. Apgar scores were 7 and 7 at 1 and 5 minutes, respectively. Initial resuscitation included oropharyngeal suctioning and oxygen supplementation by face mask. Respiratory difficulty was soon noted. Ambient oxygen concentration was increased without benefit. At 1½ hours of age, he underwent intubation and ventilation. A chest radiograph showed bilateral pneumothoraces (Figure 1) that were drained through indwelling chest tubes with immediate improvement in oxygen saturation from 72% to 100%. Complete blood cell count, serum electrolyte level, and blood glucose level were normal. Arterial blood gas measurement showed pH, 7.45; PaO2, 73 mm Hg; PaCO2, 24 mm Hg; and bicarbonate, 17 mmol/L. Ventilatory rate ranged between 22 and 40/min; peak inspiratory pressure between 26 and

REFERENCES

1 +
Janney C, Askin F, Kuhn C III.  Congenital alveolar capillary dysplasia: an unusual cause of respiratory distress in the newborn . Am J Clin Pathol . 1981;;76: 722-727.
2 +
Boggs S, Harris MC, Hoffman DJ, et al.  Misalignment of pulmonary veins with capillary dysplasia: affected siblings and variable phenotypic expression . J Pediatr . 1994;;124:125-128.
3 +
Cullinane C, Cox P, Silver M.  Persistent pulmonary hypertension of the newborn due to alveolar capillary dysplasia . Pediatr Pathol . 1992;;12:499-514.
4 +
Cater G, Thibeault D, Beatty E Jr, Kilbride H, Huntrakoon M.  Misalignment of lung vessels and alveolar capillary dysplasia: a cause of persistent pulmonary hypertension . J Pediatr . 1989;;114:293-300.
5 +
Newman B, Yunis E.  Primary alveolar capillary dysplasia . Pediatr Radiol . 1990;; 21:20-22.
6 +
Steinhorn RH, Cox PN, Fineman JR, Zwass MC, Morin FC III.  Inhaled nitric oxide enhances oxygenation but not survival in infants with alveolar capillary dysplasia . J Pediatr . 1997;;130:417-422.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Janney C, Askin F, Kuhn C III.  Congenital alveolar capillary dysplasia: an unusual cause of respiratory distress in the newborn . Am J Clin Pathol . 1981;;76: 722-727.
2 +
Boggs S, Harris MC, Hoffman DJ, et al.  Misalignment of pulmonary veins with capillary dysplasia: affected siblings and variable phenotypic expression . J Pediatr . 1994;;124:125-128.
3 +
Cullinane C, Cox P, Silver M.  Persistent pulmonary hypertension of the newborn due to alveolar capillary dysplasia . Pediatr Pathol . 1992;;12:499-514.
4 +
Cater G, Thibeault D, Beatty E Jr, Kilbride H, Huntrakoon M.  Misalignment of lung vessels and alveolar capillary dysplasia: a cause of persistent pulmonary hypertension . J Pediatr . 1989;;114:293-300.
5 +
Newman B, Yunis E.  Primary alveolar capillary dysplasia . Pediatr Radiol . 1990;; 21:20-22.
6 +
Steinhorn RH, Cox PN, Fineman JR, Zwass MC, Morin FC III.  Inhaled nitric oxide enhances oxygenation but not survival in infants with alveolar capillary dysplasia . J Pediatr . 1997;;130:417-422.

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