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Unusual association of diseases/symptoms
Complete right lung agenesis presenting with bronchial asthma and allergic rhinitis
  1. Ram Avadh Singh Kushwaha,
  2. T G Ranganath,
  3. Rajiv Garg,
  4. Shipra Anand
  1. Department of Pulmonary Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Professor Ram Avadh Singh Kushwaha, drkushwaharas{at}gmail.com

Summary

A 26 year-old lady presented with episodic breathlessness, chest tightness, recurrent nasal obstruction and excessive sneezing, mainly during change of season along with opacity of the right hemithorax on chest x-ray. Further detailed work-up including spirometry, high-resolution CT scan of the thorax and fibre-optic bronchoscopy confirmed complete right lung agenesis in patients with bronchial asthma and allergic rhinitis. Complete control of symptoms was achieved with formeterol 6 μg and mometasone 200 μg (via dry powder inhaler) and intranasal fluticasone 50 μg (nasal spray) 2 puffs twice daily and oral montelukast 10 mg with levocetirizine 5 mg once daily.

https://doi.org/10.1136/bcr-01-2012-5553

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