1
|
Quentin M, Marie-Catherine R, Floriane S. Hypersensitivity Pneumonitis in a 5-Year-Old Girl due to Turtledove: A Case Report. Arch Bronconeumol 2024:S0300-2896(24)00188-1. [PMID: 38871620 DOI: 10.1016/j.arbres.2024.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 05/20/2024] [Indexed: 06/15/2024]
Affiliation(s)
- Maggiolino Quentin
- Department of Pediatric Pulmonology, Montpellier University Hospital, Montpellier, France.
| | - Renoux Marie-Catherine
- Department of Pediatric Pulmonology, Montpellier University Hospital, Montpellier, France
| | - Socchi Floriane
- Department of Pediatric Pulmonology, Montpellier University Hospital, Montpellier, France
| |
Collapse
|
2
|
Hicks TD, Yousif D, Perez IA, Keens TG, Bansal M. When to panic about a panic attack: A challenging case of hypersensitivity pneumonitis. Paediatr Respir Rev 2023; 48:20-23. [PMID: 37225541 DOI: 10.1016/j.prrv.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 04/27/2023] [Accepted: 05/01/2023] [Indexed: 05/26/2023]
Abstract
The COVID-19 pandemic has created diagnostic difficulties with the increase in mental health illnesses that often present with nonspecific symptoms, like hypersensitivity pneumonitis. Hypersensitivity pneumonitis is a complex syndrome of varying triggers, onset, severity, and clinical manifestations that can be challenging to diagnose in many cases. Typical symptoms are nonspecific and can be attributed to other entities. There are no pediatric guidelines, which contributes to diagnostic difficulties and delays in treatment. It is particularly important to avoid diagnostic biases, have an index of suspicion for hypersensitivity pneumonitis, and to develop pediatric guidelines as outcomes are excellent when diagnosed and treated promptly. This article discusses hypersensitivity pneumonitis with a focus on the causes, pathogenesis, diagnostic approach, outcomes, and prognosis while using a case to illustrate the diagnostic difficulties worsened by the COVID-19 pandemic.
Collapse
Affiliation(s)
- Timothy D Hicks
- Division of Pediatric Pulmonology and Sleep Medicine, Children's Hospital Los Angeles, Los Angeles, CA, United States.
| | - Deena Yousif
- Division of Pediatric Pulmonology and Sleep Medicine, Children's Hospital Los Angeles, Los Angeles, CA, United States
| | - Iris A Perez
- Division of Pediatric Pulmonology and Sleep Medicine, Children's Hospital Los Angeles, Los Angeles, CA, United States; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
| | - Thomas G Keens
- Division of Pediatric Pulmonology and Sleep Medicine, Children's Hospital Los Angeles, Los Angeles, CA, United States; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
| | - Manvi Bansal
- Division of Pediatric Pulmonology and Sleep Medicine, Children's Hospital Los Angeles, Los Angeles, CA, United States; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
| |
Collapse
|
3
|
Abdelhady SG, Fouda EM, Shaheen MA, Ghazal FA, Mostafa AM, Osman AM, Nicholson AG, Hamza HM. Spectrum of childhood interstitial and diffuse lung diseases at a tertiary hospital in Egypt. ERJ Open Res 2021; 7:00880-2020. [PMID: 34109237 PMCID: PMC8181618 DOI: 10.1183/23120541.00880-2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/24/2021] [Indexed: 11/21/2022] Open
Abstract
Background Childhood interstitial and diffuse lung diseases (chILD) encompass a broad spectrum of rare pulmonary disorders. In most developing Middle Eastern countries, chILD is still underdiagnosed. Our objective was to describe and investigate patients diagnosed with chILD in a tertiary university hospital in Egypt. Methods We analysed data of consecutive subjects (aged <18 years) referred for further evaluation at the Children's Hospital, Ain Shams University (Cairo, Egypt). Diagnosis of chILD was made in accordance with the ChILD-EU criteria. The following information was obtained: demographic data, clinical characteristics, chest computed tomography findings, laboratory studies, spirometry, bronchoalveolar lavage and histopathology findings. Results 22 subjects were enrolled over 24 months. Median age at diagnosis was 7 years (range 3.5–14 years). The most common manifestations were dyspnoea (100%), cough (90.9%), clubbing (95.5%) and tachypnoea (90.9%). Systematic evaluation led to the following diagnoses: hypersensitivity pneumonitis (n=3), idiopathic interstitial pneumonias (n=4), chILD related to chronic granulomatous disease (n=3), chILD related to small airways disease (n=3), post-infectious chILD (n=2), Langerhans cell histiocytosis (n=2), idiopathic pulmonary haemosiderosis (n=2), granulomatous lymphocytic interstitial lung disease (n=1), systemic sclerosis (n=1) and familial interstitial lung disease (n=1). Among the subjects who completed the diagnostic evaluation (n=19), treatment was changed in 13 (68.4%) subjects. Conclusion Systematic evaluation and multidisciplinary peer review of chILD patients at our tertiary hospital led to changes in management in 68% of the patients. This study highlights the need for an Egyptian chILD network with genetic testing, as well as the value of collaborating with international groups in improving healthcare for children with chILD. In Egypt, childhood interstitial and diffuse lung diseases (chILD) are still underdiagnosed. Establishment of an Egyptian chILD network with genetic testing is essential to improve healthcare for children diagnosed with chILD.https://bit.ly/385qKsU
Collapse
Affiliation(s)
- Salma G Abdelhady
- Dept of Paediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Children's Hospital, Pulmonology Unit, Ain Shams University Hospitals, Cairo, Egypt
| | - Eman M Fouda
- Dept of Paediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Children's Hospital, Pulmonology Unit, Ain Shams University Hospitals, Cairo, Egypt
| | - Malak A Shaheen
- Dept of Paediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Children's Hospital, Pulmonology Unit, Ain Shams University Hospitals, Cairo, Egypt
| | - Faten A Ghazal
- Dept of Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Pathology Lab, Ain Shams University Hospitals, Cairo, Egypt
| | - Ahmed M Mostafa
- Dept of Thoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Cardiovascular and Thoracic Academy, Ain Shams University Hospitals, Cairo, Egypt
| | - Ahmed M Osman
- Dept of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Andrew G Nicholson
- Dept of Histopathology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.,National Heart and Lung Institute, Imperial College, London, UK
| | - Heba M Hamza
- Dept of Paediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Children's Hospital, Pulmonology Unit, Ain Shams University Hospitals, Cairo, Egypt
| |
Collapse
|
4
|
Jallouli A, Fakiri KE, Rada N, Draiss G, Bouskraoui M. [Bird fancier's disease in a child: about a rare and unusual case]. Pan Afr Med J 2020; 37:189. [PMID: 33447344 PMCID: PMC7778181 DOI: 10.11604/pamj.2020.37.189.26003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 10/07/2020] [Indexed: 11/11/2022] Open
Abstract
La pathologie du poumon des éleveurs d´oiseaux fait partie des pneumopathies d´hypersensibilité, elle est secondaire à une réaction immuno-allergique aux antigènes aviaires. Cette entité demeure rare chez l´enfant. Elle constitue les deux tiers des pneumopathies d´hypersensibilité. Le diagnostic de cette maladie n´est pas si aisé. Il repose sur un faisceau d´arguments. Nous rapportons une observation singulière d´une fille de 7 ans, ayant comme antécédent un terrain d´atopie familiale, traitée initialement comme asthme devant des épisodes de dyspnée sifflante et une toux sans amélioration. La symptomatologie s´est aggravée par l´installation d´une dyspnée au repos, compliquée d´une détresse respiratoire cyanosante dans un contexte d´altération de l´état général. L´examen clinique a retrouvé un enfant ayant un retard pondéral, une cyanose péribuccale avec un hippocratisme digital. L´auscultation pulmonaire a objectivé des râles crépitants bilatéraux. La radiographie du thorax a mis en évidence un syndrome interstitiel bilatéral. La tomodensitométrie (TDM) thoracique a montré un aspect en verre dépoli diffus. Le bilan biologique a révélé une hyperéosinophilie avec une hyper-IgE, et a écarté une tuberculose, une mucoviscidose, un déficit immunitaire. La reprise de l´interrogatoire a montré un contact avec les oiseaux. Les sérologies de la maladie du poumon des éleveurs d´oiseaux étaient positives. La patiente est mise sous corticothérapie inhalée avec éviction de l´expositions aux oiseaux. Après un recul de 2 mois, l´évolution était favorable. Etant donné que les signes de la maladie du poumon des éleveurs d´oiseaux sont non spécifiques, elle doit être évoquée devant toute symptomatologie respiratoire avec la notion de contact aux antigènes aviaires.
Collapse
Affiliation(s)
- Abderrahmane Jallouli
- Unité de Pneumopédiatrie, Service de Pédiatrie A, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Marrakech, Maroc.,Faculté de Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Marrakech, Maroc
| | - Karima El Fakiri
- Unité de Pneumopédiatrie, Service de Pédiatrie A, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Marrakech, Maroc.,Faculté de Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Marrakech, Maroc
| | - Noureddine Rada
- Unité de Pneumopédiatrie, Service de Pédiatrie A, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Marrakech, Maroc.,Faculté de Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Marrakech, Maroc
| | - Ghizlane Draiss
- Unité de Pneumopédiatrie, Service de Pédiatrie A, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Marrakech, Maroc.,Faculté de Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Marrakech, Maroc
| | - Mohammed Bouskraoui
- Unité de Pneumopédiatrie, Service de Pédiatrie A, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Marrakech, Maroc.,Faculté de Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Marrakech, Maroc
| |
Collapse
|