TY - JOUR
T1 - MIRAGE syndrome with recurrent pneumonia probably associated with gastroesophageal reflux and achalasia
T2 - A case report
AU - Yoshizaki, Kanako
AU - Hachiya, Rumi
AU - Tomobe, Yutaro
AU - Kaku, Uiko
AU - Akiba, Kazuhisa
AU - Shima, Hirohito
AU - Narumi, Satoshi
AU - Hasegawa, Yukihiro
N1 - Publisher Copyright:
© 2019 by The Japanese Society for Pediatric Endocrinology.
PY - 2019
Y1 - 2019
N2 - Aspiration pneumonia is a common complication of myelodysplasia, infection, restriction of growth, adrenal hypoplasia, genital phenotypes, and enteropathy (MIRAGE) syndrome. However, the detailed clinical course of aspiration pneumonia in neonates and infants diagnosed with this disorder remains unclear. We report a case of a 2-yr-old girl diagnosed with MIRAGE syndrome during the early neonatal period. The patient developed 3 episodes of aspiration pneumonia until 4 mo of age, and this complication was attributed to esophageal hypoperistalsis secondary to achalasia and gastroesophageal reflux. Enteral feeding via a duodenal tube effectively prevented further episodes of aspiration pneumonia in this patient.
AB - Aspiration pneumonia is a common complication of myelodysplasia, infection, restriction of growth, adrenal hypoplasia, genital phenotypes, and enteropathy (MIRAGE) syndrome. However, the detailed clinical course of aspiration pneumonia in neonates and infants diagnosed with this disorder remains unclear. We report a case of a 2-yr-old girl diagnosed with MIRAGE syndrome during the early neonatal period. The patient developed 3 episodes of aspiration pneumonia until 4 mo of age, and this complication was attributed to esophageal hypoperistalsis secondary to achalasia and gastroesophageal reflux. Enteral feeding via a duodenal tube effectively prevented further episodes of aspiration pneumonia in this patient.
KW - Aspiration pneumonia
KW - Esophageal hypoperistalsis
KW - Gastroesophageal reflux
KW - MIRAGE syndrome
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U2 - 10.1297/cpe.28.147
DO - 10.1297/cpe.28.147
M3 - Article
AN - SCOPUS:85074769385
SN - 0918-5739
VL - 28
SP - 147
EP - 153
JO - Clinical Pediatric Endocrinology
JF - Clinical Pediatric Endocrinology
IS - 4
ER -