Chronic Hypoxemia in a Child: Thinking Outside the Box.

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Date
2014-10
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Abstract
Background: Chronic hypoxemia is generally attributed to primary cardiac or pulmonary entities. Case characteristics: A 9-year-old boy presenting with cyanosis, clubbing and hypoxemia, without icterus or hepatosplenomegaly. Cardiovascular and respiratory system examinations were normal. Outcome: He was diagnosed as type IB Abernethy malformation, a rare cause of hepatopulmonary syndrome. Message: Pediatricians should consider hepatopulmonary syndrome in the differential diagnosis of chronic hypoxemia, even in the absence of jaundice or hepatosplenomegaly.
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Keywords
Abernethy malformation, Central cyanosis, Clubbing, Hepatopulmonary syndrome
Citation
Jagadisan Barath, Krishnamurthy Sriram, Raghavan Renitha, Barathi S Deepak. Chronic Hypoxemia in a Child: Thinking Outside the Box. Indian Pediatrics. 2014 Oct; 51(10): 829-830.