Symptoms of pigeon chest in children

Written by Luo Peng
Thoracic Surgery
Updated on September 07, 2024
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Most cases of pectus carinatum in children are quite clear and often show no symptoms. Visually, the child's chest will protrude forward. In some severe cases, pectus carinatum can cause compression of pulmonary edema, thereby affecting the child's cardiopulmonary function, resulting in poor physical stamina, symptoms like chest tightness, palpitations, and shortness of breath after activities. However, in most cases, patients with pectus carinatum may not show any symptoms, with only visible changes in appearance.

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Written by Yao Li Qin
Pediatrics
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How to determine if a baby has pigeon chest

Pectus carinatum, commonly referred to as pigeon chest, is a manifestation of the skeletal sequelae of rickets in children, where the sternum protrudes outward. To examine for pigeon chest, one commonly uses the hand to feel from top to bottom; if the sternum is noticeably protruding from the surface, then pigeon chest may be considered. This condition is a sequelae caused by a deficiency of Vitamin D. If this is the case, it is essential to visit a pediatric care, growth and development, or general pediatric outpatient clinic, where a pediatrician can confirm the diagnosis. If pigeon chest is confirmed, blood tests to measure Vitamin D levels should be conducted for infants. For older children, appropriate calcium supplementation and exercises to expand the chest should also be considered.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Difference between funnel chest and pigeon chest

Pectus excavatum and pectus carinatum are both types of deformities of the anterior chest wall, with pectus excavatum being the most common deformity, accounting for 90% of all anterior chest wall deformities; the incidence of pectus carinatum is only one-fifth to one-sixth of that of pectus excavatum. The shapes of pectus excavatum and pectus carinatum are also completely different. Pectus excavatum appears as if a funnel were placed on the chest, with the funnel receding backward and downward. Therefore, patients with pectus excavatum, when lying down, can observe a depression in the front of their chest, which is even capable of holding a cup of water placed within this funnel-like depression. On the other hand, the deformity in pectus carinatum protrudes forward. One caves inward while the other protrudes forward, thus these two shapes are completely opposite.

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Written by Li Jiao Yan
Neonatology
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What should be done about pigeon chest in children?

Childhood pigeon chest, also known as rickets, is caused by a deficiency in Vitamin D or calcium, leading to bone development issues. If pigeon chest is suspected, it is advised to visit a hospital for a detailed examination and receive treatment accordingly. If the pigeon chest is quite pronounced and there is significant deformity of the chest wall, rehabilitation or correction can be sought in relevant medical departments. Rickets is typically active before the age of 3, and stabilizes after this age. Treatment primarily focuses on addressing rickets in cases identified before the age of 3, and correcting deformities in cases identified afterwards.

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Written by Mo Ming Hua
Pediatrics
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The difference between rickets and pigeon chest.

The difference between rickets and pigeon chest: Pigeon chest is a symptom of rickets; rickets is mainly caused by a lack of vitamin D and calcium, leading to disorders in calcium and phosphorus metabolism. During the acute phase of rickets, when skeletal changes occur, this condition can easily cause deformities in the patient's chest. The pigeon chest deformity is one of the symptoms of rickets. That is to say, pigeon chest is a symptom of rickets, not a disease itself.

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Written by Luo Peng
Thoracic Surgery
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Causes of pectus carinatum in children

The causes of pigeon chest in children mainly include two aspects, one is congenital and the other is acquired. Among them, congenital pigeon chest and funnel chest both involve hereditary factors. Additionally, if the central attachment point of the diaphragm in a child is underdeveloped, it can also cause pigeon chest, which is also a congenital cause. Moreover, the acquired causes mainly include malnutrition and some specific thoracic diseases. Malnutrition is often related to rickets. Acquired thoracic diseases involve some diseases of the thoracic cavity, for example, pyothorax leading to flat chest, chest wall deformity, as well as some congenital heart diseases, heart enlargement, which then compresses the sternum causing it.