A Case Of Primary Ciliary Dyskinesia And The İmportance Of Anatomical Side Markers İn Direct Radiography
Abstract
OBJECTIVE:
If situs inversus is seen on chest x-ray and the patient's clinic is compatible with primary ciliary dyskinesia (PSD), it should be examined in more detail and screened for siblings in case of PSD. In addition, we aimed to state that even if the directional markers are not used correctly on the chest radiography, even an obvious condition such as situs inversus may be omitted or radiographs may be misinterpreted by the physician.
CASE:
Twelve years old girl with primary ciliary dyskinesia was evaluated. The presence of recurrent sinopulmonary infection and laterality defect on chest x-ray led to the investigation of PSD and the diagnosis of PSD was confirmed by homozygous variant in CCDC39 gene.
CONCLUSION:
The literature review shows that some of the radiographs have incorrect or no anatomical direction markers. In our case, if the radiography contains an incomplete directional marker, it may lead to delayed diagnosis and wrong treatment for the patient. Screening of siblings for a genetic disease such as PSD will provide many benefits.
References
- References 1. Kliegman RM, St. Geme JW, Blum NJ et al, Nelson Textbook of Pediatrics, 21th Edition, Elsevier; 2019; p.2298 2. Noone PG, Bali D, Carson JL et al, Discordant organ laterality in monozygotic twins with primary ciliary dyskinesia, Am J Med Genet 1999;82:155–160. 3. Barry K, Kumar S, Linke R, Dawes E, A clinical audit of anatomical side marker use in a paediatric medical imaging department, Journal of Medical Radiation Sciences 2016; 63(3):148–154. 4. Bent J III, Kartagener syndrome, e medicine 2009; 69:39 -41 5. DeMaio DN, Herrmann T, Noble LB et al, Best Practices in Digital Radiography, American Society of Radiologic Technologists, White paper 6. Platt, JM, Strudwick RM, The application of anatomical side markers during abdominal and IVU examinations: An investigation of practice prior to and post-installation of computed radiography (CR). Radiography 2009; 15(4):292–299.
Abstract
References
- References 1. Kliegman RM, St. Geme JW, Blum NJ et al, Nelson Textbook of Pediatrics, 21th Edition, Elsevier; 2019; p.2298 2. Noone PG, Bali D, Carson JL et al, Discordant organ laterality in monozygotic twins with primary ciliary dyskinesia, Am J Med Genet 1999;82:155–160. 3. Barry K, Kumar S, Linke R, Dawes E, A clinical audit of anatomical side marker use in a paediatric medical imaging department, Journal of Medical Radiation Sciences 2016; 63(3):148–154. 4. Bent J III, Kartagener syndrome, e medicine 2009; 69:39 -41 5. DeMaio DN, Herrmann T, Noble LB et al, Best Practices in Digital Radiography, American Society of Radiologic Technologists, White paper 6. Platt, JM, Strudwick RM, The application of anatomical side markers during abdominal and IVU examinations: An investigation of practice prior to and post-installation of computed radiography (CR). Radiography 2009; 15(4):292–299.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Congress Proceedings |
| Authors | |
| Publication Date | December 10, 2019 |
| Acceptance Date | January 16, 2020 |
| Published in Issue | Year 2019 Volume: 7 Issue: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri |
