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Case 53 : คำถามประจำเดือน กรกฎาคม 2561
An 11 year old girl with the diagnosis of cutis laxa, presented with chronic cough for 2 months, the symptom was worsen during the nighttime. Neither weight loss nor fever detected. Physical examinations showed: HR 90/min, R 22/min, SpO2 96% at room air Lung- clear Lt= Rt, good air entry bilaterally Chest X-ray and pulmonary function test as shown
Q:
1. Please interprete the chest x ray finding
2. Please interprete the pulmonary function test result
3. What is the most appropriate treatment for this chest symptom ?
Ans:
1. bilateral hyperinflation- no pulmonary infiltration.
2. Severe obstructive defect with significant response to bronchodilator.
3. Inhaled corticosteroid with long-actine beta-2-agonist