Journals / Ankara Üniversitesi Tıp Fakültesi Mecmuası / 2016 / Cilt: 69 - Sayı: 1

Difficult Airway and Pulmonary Hypertension Coexistence in a Child With I-Cell Disease

Zor Hava Yolu ve Pulmoner Hipertansiyon Birlikteli?i olan I-Cell Hastal ? Olgusu

Pages
41–43
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Here, we report the clinical course of an infant with confirmed I-cell disease (mucolipidosis type II) complicated by difficult airway and severe pulmonary hypertension, which is very rarely associated with this disorder.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:I-cell disease (mucolipidosis type II) is an autosomal recessive lysosomal enzyme targeting disorder leading to fatal outcome in childhood mostly due to respiratory insufficiency.
📊
Key Findings & Data:Mucopolysaccharidoses have been described as the worst airway problems in pediatric anesthesia, and there have been a number of previous reviews that have demonstrated a high incidence of airway problems.
💡
Conclusion & Impact:Here, we report the clinical course of an infant with confirmed I-cell disease (mucolipidosis type II) complicated by difficult airway and severe pulmonary hypertension, which is very rarely associated with this disorder.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

I-cell disease (mucolipidosis type II) is an autosomal recessive lysosomal enzyme targeting disorder leading to fatal outcome in childhood mostly due to respiratory insufficiency. The most common features of the condition are mental and physical retardation with typical orofacial features. Typical cardiac involvement includes thickening and deformation of mitral and aortic valves and dilated or hypertrophic cardiomyopathy. Mucopolysaccharidoses have been described as the worst airway problems in pediatric anesthesia, and there have been a number of previous reviews that have demonstrated a high incidence of airway problems. Here, we report the clinical course of an infant with confirmed I-cell disease (mucolipidosis type II) complicated by difficult airway and severe pulmonary hypertension, which is very rarely associated with this disorder.

Özet

I-cell hastal ? (mukolidipoz tip 2) otozomal resesif kalt ml , çocukluk yaL grubunda ço?unlukla solunum yetmezli?ine ba?l ölümcül seyredebilen lizozomal enzim bozuklu?udur. Hastal ? n en s k görülen bulgular mental ve motor retardasyon ile birlikte tipik orofasiyal anomalilerdir. Tipik kardiyak bulgular mitral kapak kal nlaLmas , aortik kapak kal nlaLmas , hipertrofik ve dilate kardiyomiyopatidir. Mukopolisakkaridozlar pediatrik anestezide görülen en zor hava yolu problemleri olarak tan mlanmaktad r ve bunu teyit eden daha önce yay nlanm L birçok yay nda hava yolu problemlerinin yüksek oldu?u bildirilmiLtir. Bu çal Lmada I-cell hastal ? (mukolidipoz tip 2) tan s alan, zor hava yolu ve bu hastal kla birlikte nadir bildirilen a? r pulmoner hipertansiyonu olan bir bebek sunulmuLtur

🔖

Cite This Article

YAMAN, A. (2022). Difficult Airway and Pulmonary Hypertension Coexistence in a Child With I-Cell Disease. Ankara Üniversitesi Tıp Fakültesi Mecmuası, Cilt: 69 - Sayı: 1, 41–43. https://ajindex.com/articles/443735

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Neufeld EF, McKusick VA. Disorders of Lysosomal Enzyme Synthesis and Localization. I-cell Disease and PseudoHurler Polydystrophy. In: Stanbury JB (eds). The Metabolic Basis of Inherited Diseases. McGraw-Hill, New York, 1983; 778-787
  2. Spitz RA, Doughty RA, Spackman TJ et al. Neonatal Presentation of I-Cell Disease. Journal of Paediatrics 1978; 93: 954-958
  3. Okada S, Owada M, Sakiyama T et al. ICell Disease: Clinical Studies of 21 Japanese Cases. Clin Genet 1985; 28: 207
  4. Satoh Y, Sakamoto K, Fujibayashi Y et al. Cardiac Involvement In Mucolipidosis: Importance Of Non-Invasive Studies For Detection Of Cardiac Abnormalities. Jpn Heart J. 1983; 24: 149
  5. Smith RM. Anaesthesia for infants and children, 4th edn. St Louis, MO: C.V. Mosby Co, 1980: 533-536
  6. Moores C, Rogers JG, McKenzie IM et al. Anaesthesia for children with mucopolysaccharidoses. Anaesth Intensive Care 1996; 24:259-463
  7. Walker RW, Darowski M, Morris P, et al. Anaesthesia and mucopolysaccharidoses. A review of airway problems in children. Anaesthesia 1994; 49: 1078-1084
  8. Baines D, Keneally J. Anaesthetic Implications of The Mucopolysaccharidoses: A fteen-Year Experience In A Children's Hospital. Anaesth Intensive Care 1983; 11: 198-202
  9. Leroy JG, DeMars RI. Mutant enzymatic and cytological phenotypes in cultured human fibroblasts. Science 1967; 157: 804-806
  10. Carey WF, Jauzems A, Richardson M, et al. Prenatal diagnosis of mucolipidosiselectron microscopy and biochemical evaluation. Prenatal Diagnosis 1999: 252- 256
  11. Leal GN, de Paula AC, Leone C, et al. Echocardiographic study of paediatric patients with mucopolysaccharidosis. Cardiol Young. 2010; 20: 254-261
  12. Kovacevic A, Schranz D, Meissner T, et al. Mucolipidosis II complicated by severe pulmonary hypertension. Mol Genet Metab. 2011; 104: 192-193
  13. Alfadhel M, AlShehhi W, Alshaalan H, Al Balwi M, Eyaida W. mucolipidosis II: First report from Saudi Arabia. Ann Saudi Med. 2013; 33:382-386
  14. Ishak M, Zambrano EV, Bazzy-Asaad A, et al. Unusual pulmonary findings in mucolipidosis II. Pediatr Pulmonol. 2012; 47: 719-721
  15. Kendirli T, Ince E, Kavaz A, et al. Difficult intubation of a child through laryngeal mask airway with two tracheal tubes. Acta Paediatr. 2006; 95: 1688-1690
  16. Caplan RA, Benumof JL, Berry FA, et al: Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force for the management of the difficult airway. Anesthesiology 199