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Thorax 2001;56:65-72 ( January )

Review series

Paediatric origins of adult lung diseases  5

Adult outcome of congenital lower respiratory tract malformations

M S Zach, E Eber

Respiratory and Allergic Disease Division, Paediatric Department, University of Graz, Austria

Correspondence to: Prof Dr M Zach, Klinische Abteilung für Päd. Pulmonologie/Allergologie, Univ Klinik für Kinder- und Jugendheilkunde, Auenbruggerplatz 30, A-8036 Graz, Austria maximilian.zach@kfunigraz.ac.at

The first 150 words of the full text of this article appear below.

	Introduction

Congenital malformations of the lower respiratory tract are usually diagnosed and managed in the newborn period, in infancy, or in childhood. To what extent should the adult pulmonologist be experienced in this predominantly paediatric field?

There are three ways in which an adult physician may be confronted with this spectrum of disorders. The most frequent type of encounter will be a former paediatric patient, now reaching adulthood, with the history of a surgically treated respiratory malformation; in some of these patients the early loss of lung tissue raises questions of residual damage and compensatory growth. Secondly, there is an increasing number of children in whom paediatric pulmonologists treat respiratory malformations expectantly; these patients eventually become adults with their malformation still in place. Thirdly, there is a small group of patients in whom the malformation goes unrecognised throughout childhood; in these a late complication or the coincidental discovery of a radiographic . . . [Full text of this article]

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