2008
Welcome to my first attempt ‘blogging’. My daughter and her husband have been doing this for years and it has been most enjoyable. I thought it may have some utility as a supplement to my clinical practice of allergy/clinical immunology. Here goes……..
FAST FORWARD
2023 —
And that was how this began. That young lady is now 15 years old.
Leickly Stories 
I was wondering if you find many children, or diagnosis many with Right middle lobe syndrome. I have a one year old that has an extensive history. It started with atopic derm. at one month, chronic congestion, multiple episodes of pneumonia and sinus infections. He has had several chest x-rays that show a shadow under the heart. He was given a diagnosis of asthma/reactive airway disease. He has had allergy testing done but only came back positive to mites. His doctor recently is looking into this shaddow on the x-ray. What is RMLS and should I be concerend?
Great question Colleen. No RML is not a common finding in an allergy practice. It would show-up when we are evaluating someone for asthma or recurrent infections and it sounds like the recurrent pneumonia may have its origins in the RML. At Riley Hospital for Children we have a wonder group of pediatric pulmonologists who have the expertise and tools to evaluate the condition further. The problem is not related to allergy. That lobe of lung becomes somewhat dysfunctional. Sometimes the bronchi, the tubes conducting air to that lobe of lung are compressed. Air can’t be exchanged and that lobe of lung tends to collapse. When a lobe of lung can’t function as it should, it becomes a focus of infection and the recurrence of pneumonia. A pediatric pulmonologist will be very helpful in this situation.
I hope things go well and you get it sorted out.
Thanks for the note,
Warmest regards,
FEL
I often look around the internet these days looking solutions to my alergies. I like to read about new ideas, things that I may not have tried before. I really loved reading the posts on your site. Thank you for sharing.