Bilateral pulmonary embolism mimicking acute chest syndrome in an adolescent with sickle cell disease

被引：2

作者：

Mornand, P. ^{[1
]}

Chalard, F. ^{[2
]}

Romain, A. -S. ^{[1
]}

Rohr, M. ^{[1
]}

Paluel-Marmont, C. ^{[1
]}

Niakate, A. ^{[1
]}

Quinet, B. ^{[1
]}

Grimprel, E. ^{[1
]}

Odievre-Montanie, M. -H. ^{[1
,3
]}

机构：

[1] Hop Armand Trousseau, AP HP, Serv Pediat, 26 Ave Docteur Arnold Netter, F-75012 Paris, France

[2] Hop Armand Trousseau, AP HP, Serv Radiol, 26 Ave Docteur Arnold Netter, F-75012 Paris, France

[3] Inst Natl Transfus Sanguine, UMR S1134, 6 Rue Alexandre Cabanel, F-75015 Paris, France

来源：

ARCHIVES DE PEDIATRIE | 2017年 / 24卷 / 07期

关键词：

PEDIATRIC-EMERGENCY-DEPARTMENT; VENOUS THROMBOEMBOLISM; CHILDREN; SCORE;

D O I：

10.1016/j.arcped.2017.04.009

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Pulmonary embolism is a life-threatening and potentially lethal disease. Its incidence in children with sickle cell disease is probably underestimated and pediatric case reports in the literature are rare. Moreover, symptoms can mimic an acute chest syndrome. We report on the case of a 17-year-old boy with SS sickle cell disease, admitted for chest pain with dyspnea and tachycardia. Pulmonary angiography revealed a partial bilateral obstructive pulmonary embolism. We did not find any deep venous thrombosis or thrombophilia. The progression was rapidly favorable with anticoagulant therapy. We recommend a pulmonary angiography for any chest pain that does not evolve favorably in a child with sickle cell disease. Large series of pediatric patients would be useful to establish diagnostic and therapeutic guidelines. (C) 2017 Elsevier Masson SAS. All rights reserved.

引用

页码：625 / 629

页数：5

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