Pediatric interstitial lung disease

This study was done to ascertain the symptomatology, clinical features and investigations pertaining to interstitial lung diseases (ILD) in children. The medical records of 16 children admitted over a 4-year period from June 2000 to May 2004 with progressive cough, dyspnea, and chest X-ray/High Reso...

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Bibliographic Details
Published inIndian pediatrics Vol. 43; no. 10; p. 899
Main Authors Vijayasekaran, D, Giridhar, S, Gowrishankar, N C, Nedunchelian, K, Senguttuvan, Mangayarkarasi
Format Journal Article
LanguageEnglish
Published India 01.10.2006
Subjects
Biopsy
Bronchoalveolar Lavage
Child
Child, Preschool
Female
Hospitals, Pediatric
Humans
Infant
Lung Diseases, Interstitial - diagnosis
Lung Diseases, Interstitial - physiopathology
Lung Diseases, Interstitial - therapy
Male
Retrospective Studies
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Summary:This study was done to ascertain the symptomatology, clinical features and investigations pertaining to interstitial lung diseases (ILD) in children. The medical records of 16 children admitted over a 4-year period from June 2000 to May 2004 with progressive cough, dyspnea, and chest X-ray/High Resolution Computerized Tomography (HRCT) abnormalities suggesting ILD were retrospectively evaluated. Clinical findings, investigations, chest skiagrams, HRCT, bronchoalveolar lavage (BAL) and lung biopsy reports were analyzed. An acute presentation of symptoms was seen in 4 cases (25%). Velcro crackles were the commonest clinical finding, present in 15 cases (93.8%). Serial X-rays revealed findings suggestive of ILD in 12 cases (75%) and HRCT was diagnostic in 13 cases (86.6%). Spirometry done in 5 cases showed a restrictive ventilatory defect, BAL analysis done in 8 cases demonstrated increased neutrophils and lung biopsy done in 5 cases was consistent with idiopathic pulmonary fibrosis. Mean survival duration of 2 years and 7 months after initial diagnosis was observed.
ISSN:0019-6061