Abstract

<h3>To the Editor:—</h3> There are several other aspects of this paper that warrant comment. These relate to the heterogeneity of Dees' patients in contrast to the atopic population studied by our group; to the high incidence of recurrence of atelectasis and frequent steroid administration in this patient population; to the failure of bronchoscopy to affect reexpansion of the pulmonary segment; to the prompt reexpansion of the area of collapse in many of these children; and finally to the progressive lessening of the frequency of the atelectasis with aging in the group with recurrence. Surgical intervention was never necessary in our patients, and James (<i>Quart J Med</i><b>25</b>:120, 1956), in his study of the natural course of pulmonary collapse in a varied group of children, also found that lobectomy was seldom indicated, the affected segment usually reexpanding if sufficient time elapsed.

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