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Pediatric follicular bronchiolitis with severe atelectasis: a case report
1Department of Thoracic & Cardiovascular Surgery, Daegu Catholic University Hospital, Catholic University of Daegu, College of Medicine South Korea.
Summary
Follicular bronchiolitis, a rare lung condition, was diagnosed in a child with persistent respiratory issues. Treatment with steroids significantly improved her pulmonary function after other therapies failed.
Area of Science:
- Pulmonology
- Pediatric Respiratory Medicine
- Histopathology
Background:
- Follicular bronchiolitis is a rare pulmonary disorder characterized by hyperplastic lymphoid follicles around bronchioles.
- Diagnosis can be challenging due to non-specific clinical and radiological findings.
Observation:
- An 11-year-old girl presented with right middle lobe atelectasis, lung nodules, and recurrent respiratory infections.
- The condition progressed despite macrolide therapy, necessitating thoracoscopic biopsy and right middle lobe lobectomy.
Findings:
- Histopathological examination confirmed follicular bronchiolitis.
- The patient experienced dramatic improvement in pulmonary function following oral steroid treatment.
Implications:
- Follicular bronchiolitis requires histopathological confirmation for accurate diagnosis.
- Lobectomy may be necessary for diagnosis and treatment in cases of irreversible atelectasis and recurrent infections.
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