Lady Windermere Syndrom

“Ladies
don’t cough”: Lady Windermere syndrome. Frontal radiogram shows small, ill-defined opacities in the middle and upper lobe. Air bronchogram is depicted in the right middle lobe.
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“Ladies
don’t cough”: Lady Windermere syndrome. CT axial image shows cylindrical bronchiectasis and partial volume loss in the middle lobe.
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“Ladies
don’t cough”: Lady Windermere syndrome. Axial CT image in the posterior segment of the right upper lobe shows bronchial wall thickening and multiple small nodules.
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“Ladies
don’t cough”: Lady Windermere syndrome. Axial CT showing in detail a) branching centrilobular nodules (arrow) in keeping with tree-in-bud pattern and b) bronchial wall thickening (arrow) and multiple small nodules (arrowhead).
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Pulmonary
Mycobacterium avium complex infection • Right middle lobe bronchiectasis: Mycobacterium avium complex - Ganzer Fall bei Radiopaedia
Yang, N. Right middle lobe bronchiectasis: Mycobacterium avium complex. Case study, Radiopaedia.org. (accessed on 24 Oct 2022) https://doi.org/10.53347/rID-9255 • CC by-nc-sa 3.0 (modified)
Pulmonary
Mycobacterium avium complex infection • Pulmonary mycobacterium avium complex infection - Ganzer Fall bei Radiopaedia
Nicoletti, D. Pulmonary mycobacterium avium complex infection. Case study, Radiopaedia.org. (accessed on 24 Oct 2022) https://doi.org/10.53347/rID-44567 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

Lady Windermere syndrome refers to a pattern of pulmonary Mycobacterium avium complex (MAC) infection seen typically in elderly white women who chronically suppress the normal cough reflex. A fastidious nature and a reticence to expectorate are believed to predispose such persons to infections with MAC.

Radiographic features

Plain radiograph

Linear opacities in middle lobe or lingula can be seen, as a result of subsegmental atelectasis or bronchiectasis with mucosal impactions. Residual middle lobe or lingula atelectasis can also be seen.

CT

Typical manifestation is of bronchiectasis, centrilobular nodules and eventual scarring and volume loss affecting the middle lobe and lingula .

It is one of the causes of right middle lobe syndrome.

History and etymology

The syndrome is named after Lady Windermere, a character in Oscar Wilde's 1892 play Lady Windermere's fan .

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Lady Windermere Syndrom:
Mittellappenatelektase
 
Wikipedia • CC BY-SA 3.0
pulmonary
Mycobacterium avium complex infection
insightsimaging.springeropen.com • Open Access
Nichttuberkulöse
Mykobakteriose Lunge
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