Department of Paediatrics and Adolescent Medicine, Princess Margaret Hospital, Lai Chi Kok, Kowloon, Hong Kong, China
SC Sit ( 薛守智 ) MBBS, MRCP(UK), FHKCPaed
QU Lee ( 李君宇 ) MBChB, MRCP(UK), FHKCPaed
MC Chiu ( 趙孟準 ) MBBS, FRCP(Lond, Edin, Glasg), FHKCPaed
Correspondence to: Dr SC Sit
Received September 1, 2006
Swyer-James/Macleod syndrome (SJMS) is an uncommon disease with the characteristic radiological feature of "unilateral hyperlucency" due to loss of pulmonary vasculature and air trapping. SJMS is considered to be a form of bronchiolitis obliterans that follows viral bronchiolitis and pneumonitis. We reported in this article three paediatric patients with a spectrum of clinical presentation of this rare syndrome. Their diagnoses were confirmed with the use of CT scan. They were treated conservatively. None of them have developed any serious complication during the relative short follow up period. We suggested that a large scale studies should be performed to investigate the long term outcome in this group of patients.