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Intercostal retractions

MedGen UID:
98415
•Concept ID:
C0425470
•
Finding
Synonyms: Chest retractions; Intercostal insuction; Intercostal recession; Intercostal Retractions; Retractions
SNOMED CT: Intercostal recession (6442005); Intercostal insuction (6442005)
 
HPO: HP:0030864

Definition

A pulling inward of the soft tissues between the ribs upon inhalation. This is a sign of increased use of the chest muscles for breathing and is a manifestation of respiratory distress. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIntercostal retractions

Professional guidelines

PubMed

Viral croup: diagnosis and a treatment algorithm.
Petrocheilou A, Tanou K, Kalampouka E, Malakasioti G, Giannios C, Kaditis AG
Pediatr Pulmonol 2014 May;49(5):421-9. Epub 2014 Mar 5 doi: 10.1002/ppul.22993. PMID: 24596395
Neonatal diagnosis of respiratory distress syndrome.
Walti H, Couchard M, Relier JP
Eur Respir J Suppl 1989 Mar;3:22s-26s. PMID: 2662994

Recent clinical studies

Etiology

Mid-term effect of mandibular distraction osteogenesis on clinical and polysomnography findings of patients with Robin sequence.
Dos Santos MO, Manica D, Cauduro Marostica PJ, Kuhl LP, Collares MV, Schweiger C
J Craniomaxillofac Surg 2024 Jan;52(1):55-58. Epub 2023 Aug 10 doi: 10.1016/j.jcms.2023.08.004. PMID: 37884434
Food intake during the previous 24 h as a percentage of usual intake: a marker of hypoxia in infants with bronchiolitis: an observational, prospective, multicenter study.
Corrard F, de La Rocque F, Martin E, Wollner C, Elbez A, Koskas M, Wollner A, Boucherat M, Cohen R
BMC Pediatr 2013 Jan 11;13:6. doi: 10.1186/1471-2431-13-6. PMID: 23311899Free PMC Article
Burden of disease in hospitalized RSV-positive children in Germany.
Weigl JA, Puppe W, Rockahr S, Schmitt HJ
Klin Padiatr 2002 Nov-Dec;214(6):334-42. doi: 10.1055/s-2002-35365. PMID: 12424681
Sleep-disordered breathing in children.
Guilleminault C, Pelayo R
Ann Med 1998 Aug;30(4):350-6. doi: 10.3109/07853899809029934. PMID: 9783833
Interstitial lung disease.
Kumar V
Indian J Pediatr 1996 Sep-Oct;63(5):673-7. doi: 10.1007/BF02730819. PMID: 10830038

Diagnosis

Viral croup: diagnosis and a treatment algorithm.
Petrocheilou A, Tanou K, Kalampouka E, Malakasioti G, Giannios C, Kaditis AG
Pediatr Pulmonol 2014 May;49(5):421-9. Epub 2014 Mar 5 doi: 10.1002/ppul.22993. PMID: 24596395
Burden of disease in hospitalized RSV-positive children in Germany.
Weigl JA, Puppe W, Rockahr S, Schmitt HJ
Klin Padiatr 2002 Nov-Dec;214(6):334-42. doi: 10.1055/s-2002-35365. PMID: 12424681
Sleep-disordered breathing in children.
Guilleminault C, Pelayo R
Ann Med 1998 Aug;30(4):350-6. doi: 10.3109/07853899809029934. PMID: 9783833
Interstitial lung disease.
Kumar V
Indian J Pediatr 1996 Sep-Oct;63(5):673-7. doi: 10.1007/BF02730819. PMID: 10830038
Neonatal diagnosis of respiratory distress syndrome.
Walti H, Couchard M, Relier JP
Eur Respir J Suppl 1989 Mar;3:22s-26s. PMID: 2662994

Therapy

Infective endocarditis due to Burkholderia cepacia in a neonate: a case report.
Yonas E, Damay V, Pranata R, Nusarintowati N
J Med Case Rep 2018 May 8;12(1):120. doi: 10.1186/s13256-018-1633-z. PMID: 29734941Free PMC Article
Laryngotracheal edema due to thermal injury: A complication after thyroidectomy in children.
Kendigelen P, Tutuncu AC, Ashyralyyeva G, Emreb S, Urkmez S, Utkua T, Kaya G
Arch Argent Pediatr 2017 Feb 1;115(1):e31-e33. doi: 10.5546/aap.2017.eng.e31. PMID: 28097852
Viral croup: diagnosis and a treatment algorithm.
Petrocheilou A, Tanou K, Kalampouka E, Malakasioti G, Giannios C, Kaditis AG
Pediatr Pulmonol 2014 May;49(5):421-9. Epub 2014 Mar 5 doi: 10.1002/ppul.22993. PMID: 24596395
Food intake during the previous 24 h as a percentage of usual intake: a marker of hypoxia in infants with bronchiolitis: an observational, prospective, multicenter study.
Corrard F, de La Rocque F, Martin E, Wollner C, Elbez A, Koskas M, Wollner A, Boucherat M, Cohen R
BMC Pediatr 2013 Jan 11;13:6. doi: 10.1186/1471-2431-13-6. PMID: 23311899Free PMC Article
Burden of disease in hospitalized RSV-positive children in Germany.
Weigl JA, Puppe W, Rockahr S, Schmitt HJ
Klin Padiatr 2002 Nov-Dec;214(6):334-42. doi: 10.1055/s-2002-35365. PMID: 12424681

Prognosis

Clinical characteristics of children with airway malacia complicated by pneumonia.
Wang T, Xu Q, Dai G, Hong Y, Chen Z, Lu M, Yan Y, Jiang W
BMC Infect Dis 2021 Sep 3;21(1):902. doi: 10.1186/s12879-021-06603-9. PMID: 34479483Free PMC Article
Infective endocarditis due to Burkholderia cepacia in a neonate: a case report.
Yonas E, Damay V, Pranata R, Nusarintowati N
J Med Case Rep 2018 May 8;12(1):120. doi: 10.1186/s13256-018-1633-z. PMID: 29734941Free PMC Article
Case 211: pleuropulmonary blastoma in association with cystic nephroma-DICER1 syndrome.
Kousari YM, Khanna G, Hill DA, Dehner LP
Radiology 2014 Nov;273(2):622-5. doi: 10.1148/radiol.14130949. PMID: 25340273
Burden of disease in hospitalized RSV-positive children in Germany.
Weigl JA, Puppe W, Rockahr S, Schmitt HJ
Klin Padiatr 2002 Nov-Dec;214(6):334-42. doi: 10.1055/s-2002-35365. PMID: 12424681
The disposition of children with croup treated with racemic epinephrine and dexamethasone in the emergency department.
Rizos JD, DiGravio BE, Sehl MJ, Tallon JM
J Emerg Med 1998 Jul-Aug;16(4):535-9. doi: 10.1016/s0736-4679(98)00055-9. PMID: 9696166

Clinical prediction guides

Role of High-Resolution Chest Computed Tomography in a Child with Persistent Tachypnoea and Intercostal Retractions: A Case Report of Neuroendocrine Cell Hyperplasia.
Lelii M, Patria MF, Pinzani R, Tenconi R, Mori A, Bonelli N, Principi N, Esposito S
Int J Environ Res Public Health 2017 Sep 25;14(10) doi: 10.3390/ijerph14101113. PMID: 28946688Free PMC Article
Food intake during the previous 24 h as a percentage of usual intake: a marker of hypoxia in infants with bronchiolitis: an observational, prospective, multicenter study.
Corrard F, de La Rocque F, Martin E, Wollner C, Elbez A, Koskas M, Wollner A, Boucherat M, Cohen R
BMC Pediatr 2013 Jan 11;13:6. doi: 10.1186/1471-2431-13-6. PMID: 23311899Free PMC Article
Burden of disease in hospitalized RSV-positive children in Germany.
Weigl JA, Puppe W, Rockahr S, Schmitt HJ
Klin Padiatr 2002 Nov-Dec;214(6):334-42. doi: 10.1055/s-2002-35365. PMID: 12424681
Clinical predictors of acute respiratory acidosis during exacerbation of asthma and chronic obstructive pulmonary disease.
Cham GW, Tan WP, Earnest A, Soh CH
Eur J Emerg Med 2002 Sep;9(3):225-32. doi: 10.1097/00063110-200209000-00004. PMID: 12394618
The disposition of children with croup treated with racemic epinephrine and dexamethasone in the emergency department.
Rizos JD, DiGravio BE, Sehl MJ, Tallon JM
J Emerg Med 1998 Jul-Aug;16(4):535-9. doi: 10.1016/s0736-4679(98)00055-9. PMID: 9696166

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