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High-speed Video Microscopy Analysis for First-line Diagnosis of Primary Ciliary Dyskinesia
Published on: January 19, 2022
Neonatal respiratory distress syndrome--a sign of primary ciliary dyskinesia?
1Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Zurich, Switzerland. holzmann@orl.usz.ch
Insights
Neonatal respiratory distress syndrome (NRDS) may indicate primary ciliary dyskinesia (PCD). Early investigation for PCD is recommended in infants with unexplained NRDS and other suggestive symptoms.
Area of Science:
- Pediatrics
- Genetics
- Pulmonology
Background:
- Primary ciliary dyskinesia (PCD) presents with diverse clinical symptoms.
- Common manifestations include chronic respiratory infections and otitis media.
- Neonatal respiratory distress syndrome (NRDS) has not been widely recognized as a PCD symptom.
Purpose of the Study:
- To investigate the association between NRDS and PCD.
- To highlight NRDS as a potential early indicator of PCD in neonates.
Main Methods:
- Retrospective analysis of ten patients diagnosed with PCD between 1990 and 1998.
- Review of clinical presentations, focusing on neonatal history.
Main Results:
- Nine out of ten PCD patients experienced NRDS of unknown cause.
- Six of these infants required intensive care, with one needing mechanical ventilation.
- Findings suggest a potential link between NRDS and PCD.
Conclusions:
- Neonatal respiratory distress syndrome (NRDS) should be considered in the differential diagnosis of primary ciliary dyskinesia (PCD).
- Further investigation for PCD is warranted in infants presenting with unexplained NRDS and other suggestive clinical signs.
Unlabelled:
Primary ciliary dyskinesia (PCD) is a clinically heterogeneous disease. In most cases, its clinical manifestation in children is rather unspecific: chronic infectious rhinnosinusitis, recurrent acute infections of the upper and lower airways and chronic otitis media with effusion. Between 1990 and 1998 ten patients were diagnosed as PCD. Nine presented a neonatal respiratory distress syndrome (NRDS) of unknown cause. Six of these patients were newborns treated in the intensive care unit, one of them needed mechanical ventilation. The few cases already described in the literature and the experience with our patients support the possible association of NRDS with PCD.
Conclusion:
Neonatal respiratory distress syndrome of unknown cause should be added to the list of clinical presentation of primary ciliary dyskinesia, and if further signs and symptoms are indicative of primary ciliary dyskinesia, investigations to explore this disorder are warranted.
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