Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review

Background: Bronchial Dieulafoy's disease (BDD), characterized by constant diameter arterial malformation, is rare, especially among infants. The pathogenesis and clinical features of pediatric patients are unknown. Misdiagnosis and biopsy operations may lead to potential massive hemorrhage, wh...

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Main Authors: Yang Chen, Yiting Mao, Xingfeng Cheng, Ruihua Xiong, Ying Lan, Feng Chen, Furong Zhang, Jun Liu, Yanting Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2021.674509/full
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author Yang Chen
Yiting Mao
Xingfeng Cheng
Ruihua Xiong
Ying Lan
Feng Chen
Furong Zhang
Jun Liu
Yanting Wu
author_facet Yang Chen
Yiting Mao
Xingfeng Cheng
Ruihua Xiong
Ying Lan
Feng Chen
Furong Zhang
Jun Liu
Yanting Wu
author_sort Yang Chen
collection DOAJ
description Background: Bronchial Dieulafoy's disease (BDD), characterized by constant diameter arterial malformation, is rare, especially among infants. The pathogenesis and clinical features of pediatric patients are unknown. Misdiagnosis and biopsy operations may lead to potential massive hemorrhage, which endangers the patient's life.Case Presentation: Here, we present a case of a 9-month-old boy who was diagnosed with BDD with massive hemoptysis. The boy was cured by embolization of the bronchial artery and was in good health at the 1-year follow-up. In addition, we searched PubMed, Google Scholar, and Web of Science databases using keyword “Bronchial Dieulafoy's Disease (BDD)” and found six additional cases of pediatric BDD.Conclusion: It is still insufficient to draw a conclusion about the origin of the disease. Bronchial angiography and endobronchial ultrasonography are considered promising methods to diagnose Dieulafoy's disease of the bronchus. Bronchoscopy with transbronchial biopsy should not be deployed due to the high risk of fatal hemorrhage. Explicit clinical case reports of BDD are needed to enhance the understanding of this rare disease.
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spelling doaj.art-c2c9ff90c3494d868e34ae9494d10fb42022-12-21T23:32:32ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-09-01910.3389/fped.2021.674509674509Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article ReviewYang Chen0Yiting Mao1Xingfeng Cheng2Ruihua Xiong3Ying Lan4Feng Chen5Furong Zhang6Jun Liu7Yanting Wu8Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaThe International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaWuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, ChinaObstetrics and Gynecology Hospital of Fudan University, Shanghai, ChinaBackground: Bronchial Dieulafoy's disease (BDD), characterized by constant diameter arterial malformation, is rare, especially among infants. The pathogenesis and clinical features of pediatric patients are unknown. Misdiagnosis and biopsy operations may lead to potential massive hemorrhage, which endangers the patient's life.Case Presentation: Here, we present a case of a 9-month-old boy who was diagnosed with BDD with massive hemoptysis. The boy was cured by embolization of the bronchial artery and was in good health at the 1-year follow-up. In addition, we searched PubMed, Google Scholar, and Web of Science databases using keyword “Bronchial Dieulafoy's Disease (BDD)” and found six additional cases of pediatric BDD.Conclusion: It is still insufficient to draw a conclusion about the origin of the disease. Bronchial angiography and endobronchial ultrasonography are considered promising methods to diagnose Dieulafoy's disease of the bronchus. Bronchoscopy with transbronchial biopsy should not be deployed due to the high risk of fatal hemorrhage. Explicit clinical case reports of BDD are needed to enhance the understanding of this rare disease.https://www.frontiersin.org/articles/10.3389/fped.2021.674509/fullbronchial dieulafoy's diseasecritical carerare diseasepediatricspulmonary
spellingShingle Yang Chen
Yiting Mao
Xingfeng Cheng
Ruihua Xiong
Ying Lan
Feng Chen
Furong Zhang
Jun Liu
Yanting Wu
Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
Frontiers in Pediatrics
bronchial dieulafoy's disease
critical care
rare disease
pediatrics
pulmonary
title Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
title_full Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
title_fullStr Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
title_full_unstemmed Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
title_short Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review
title_sort case report a case of infant bronchial dieulafoy s disease and article review
topic bronchial dieulafoy's disease
critical care
rare disease
pediatrics
pulmonary
url https://www.frontiersin.org/articles/10.3389/fped.2021.674509/full
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