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Updated: Jun 19, 2025

High-speed Video Microscopy Analysis for First-line Diagnosis of Primary Ciliary Dyskinesia
Published on: January 19, 2022
Recognizing clinical features of primary ciliary dyskinesia in the perinatal period
Lydia Mapala1, Madhan Kumar2, Anne-Marie Canakis2
1Pediatric Respiratory Medicine, McGill University Health Centre, Montreal, QC, Canada. lydia.mapala@mail.mcgill.ca.
Insights
Primary ciliary dyskinesia (PCD) is a rare genetic disorder causing chronic respiratory issues. Diagnosis in newborns is often delayed, despite key symptoms like respiratory distress, necessitating increased awareness among neonatal caregivers.
Area of Science:
- Medical Genetics
- Pediatric Pulmonology
- Neonatology
Background:
- Primary ciliary dyskinesia (PCD) is a rare genetic motile ciliopathy.
- It primarily affects the respiratory system, leading to chronic ear, sinus, and lung disease.
- Neonatal respiratory distress is a common symptom, yet diagnosis is frequently delayed.
Purpose of the Study:
- To review the prevalence and specific features of neonatal diagnoses of PCD.
- To highlight diagnostic challenges and key indicators in neonates.
- To inform neonatal caregivers about timely diagnosis and management.
Main Methods:
- Review of neonatal PCD diagnoses within a large PCD clinic.
- Analysis of clinical presentations, diagnostic features, and outcomes.
- Examination of specific presentations in premature neonates.
Main Results:
- Neonatal respiratory distress and lobar atelectasis on chest radiography often present with delayed onset.
- Specific presentations and responses to perinatal therapies in premature neonates were observed.
- Organ laterality defects, prenatal cerebral ventriculomegaly, and family history are important clues.
Conclusions:
- Increased awareness of PCD's neonatal features is crucial for timely diagnosis.
- Prompt diagnostic testing should be considered in neonates with suggestive symptoms or history.
- Early diagnosis facilitates appropriate management and improves outcomes for infants with PCD.
Abstract:
Primary ciliary dyskinesia (PCD) is a rare, motile ciliopathy inherited through mostly autosomal recessive variants that results in chronic ear, sinus, and respiratory disease. Despite neonatal respiratory distress being a common presenting symptom in term infants with PCD, the diagnosis is often delayed due to non-familiarity of neonatal caregivers with phenotypic and diagnostic features of this disease. Organ laterality defects, prenatal cerebral ventriculomegaly, and a family history of suppurative respiratory disease may occur in PCD and should prompt neonatal testing for this condition. In this review of neonatal PCD diagnoses in a large PCD clinic, prevalence and details of neonatal PCD issues are presented, highlighting the typically delayed onset of neonatal respiratory distress and lobar atelectasis on chest radiography, specific presentations in premature neonates, and responses to perinatal therapies.
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