MIRAGE syndrome with recurrent pneumonia probably associated with gastroesophageal reflux and achalasia: A case report

Kanako Yoshizaki, Rumi Hachiya, Yutaro Tomobe, Uiko Kaku, Kazuhisa Akiba, Hirohito Shima, Satoshi Narumi, Yukihiro Hasegawa

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Aspiration pneumonia is a common complication of myelodysplasia, infection, restriction of growth, adrenal hypoplasia, genital phenotypes, and enteropathy (MIRAGE) syndrome. However, the detailed clinical course of aspiration pneumonia in neonates and infants diagnosed with this disorder remains unclear. We report a case of a 2-yr-old girl diagnosed with MIRAGE syndrome during the early neonatal period. The patient developed 3 episodes of aspiration pneumonia until 4 mo of age, and this complication was attributed to esophageal hypoperistalsis secondary to achalasia and gastroesophageal reflux. Enteral feeding via a duodenal tube effectively prevented further episodes of aspiration pneumonia in this patient.

Original languageEnglish
Pages (from-to)147-153
Number of pages7
JournalClinical Pediatric Endocrinology
Volume28
Issue number4
DOIs
Publication statusPublished - 2019
Externally publishedYes

Keywords

  • Aspiration pneumonia
  • Esophageal hypoperistalsis
  • Gastroesophageal reflux
  • MIRAGE syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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