PEDIATRICS Vol. 40 No. 6 December 1967, pp. 962-974
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LUNG FUNCTION AND PATHOLOGY IN A PREMATURE INFANT WITH CHRONIC PULMONARY INSUFFICIENCY (WILSON-MIKITY SYNDROME)

W. A. Aherne M.D., M.C.Path.1, K. W. Cross D.Sc., F.R.C.P.1, E. N. Hey B.M., D.Phil.1, and Sheila R. Lewis M.B., M.R.C.P.1

1 Medical Research Council Group on Respiration and Energy Metabolism in the Newborn, The London Hospital Medical College, London, and Departments of Pathology, Newcastle General Hospital and Royal Victoria Infirmary, Newcastle upon Tyne, England

Detailed lung function studies at the age of 8 months and 1 year are reported for an infant who weighed 992 gm at birth and who developed chronic progressive pulmonary insufficiency 2 weeks after birth. The symptoms and signs were similar to those described by Wilson and Mikity in 1960. A confirmatory lung biopsy was obtained when the child was 11 months old.

Dynamic lung "compliance" was very significantly reduced while a static estimate of lung compliance was within normal limits. These and other lung function findings are interpreted as indicating that uneven alveolar ventilation was the probable functional basis for all the signs and symptoms observed.

Submitted on April 10, 1967
Accepted on July 11, 1967