Diagnosis of Interstitial Lung Disease Caused by Possible Hypersensitivity Pneumonitis in a Child: Think CGD.
Identifieur interne : 000D20 ( Main/Exploration ); précédent : 000D19; suivant : 000D21Diagnosis of Interstitial Lung Disease Caused by Possible Hypersensitivity Pneumonitis in a Child: Think CGD.
Auteurs : Saliha Esenboga [Turquie] ; Nagehan Emiralioglu [Turquie] ; Deniz Cagdas [Turquie] ; Baran Erman [Turquie] ; Martin De Boer [Pays-Bas] ; Berna Oguz [Turquie] ; Nural Kiper [Turquie] ; Lhan Tezcan [Turquie]Source :
- Journal of clinical immunology [ 1573-2592 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Alvéolite allergique extrinsèque (), Alvéolite allergique extrinsèque (diagnostic), Granulomatose septique chronique (), Granulomatose septique chronique (diagnostic), Humains, Marqueurs biologiques, Mâle, Pneumopathies interstitielles (diagnostic), Pneumopathies interstitielles (physiopathologie), Pneumopathies interstitielles (étiologie), Radiographie thoracique, Tests de la fonction respiratoire, Tomodensitométrie.
- MESH :
- diagnostic : Alvéolite allergique extrinsèque, Granulomatose septique chronique, Pneumopathies interstitielles.
- physiopathologie : Pneumopathies interstitielles.
- étiologie : Pneumopathies interstitielles.
- Adolescent, Alvéolite allergique extrinsèque, Granulomatose septique chronique, Humains, Marqueurs biologiques, Mâle, Radiographie thoracique, Tests de la fonction respiratoire, Tomodensitométrie.
English descriptors
- KwdEn :
- Adolescent, Alveolitis, Extrinsic Allergic (complications), Alveolitis, Extrinsic Allergic (diagnosis), Biomarkers, Granulomatous Disease, Chronic (complications), Granulomatous Disease, Chronic (diagnosis), Humans, Lung Diseases, Interstitial (diagnosis), Lung Diseases, Interstitial (etiology), Lung Diseases, Interstitial (physiopathology), Male, Radiography, Thoracic, Respiratory Function Tests, Tomography, X-Ray Computed.
- MESH :
- chemical : Biomarkers.
- complications : Alveolitis, Extrinsic Allergic, Granulomatous Disease, Chronic.
- diagnosis : Alveolitis, Extrinsic Allergic, Granulomatous Disease, Chronic, Lung Diseases, Interstitial.
- etiology : Lung Diseases, Interstitial.
- physiopathology : Lung Diseases, Interstitial.
- Adolescent, Humans, Male, Radiography, Thoracic, Respiratory Function Tests, Tomography, X-Ray Computed.
Abstract
Interstitial lung disease (ILD) is a rare and heterogeneous group of disorder affecting the lung parenchyma and has a detrimental effect on gas exchange. Chronic granulomatous disease (CGD), when it affects primarily lungs, may cause ILD. We report a 16-year-old patient with CGD caused by homozygous deletion of NCF1 who atypically presented with ILD. The patient had many pigeons and was a pigeon breeder. Exacerbated clinical symptoms were linked to hypersensitivity pneumonitis (HP), and the patient was suggested to keep away from pigeons. In addition to allergen avoidance and prophylactic antibacterial therapy, treatment with corticosteroids and hydroxychloroquine was started for mainly obstructive and persistant symptoms of ILD. CGD is known to cause a hyperinflammatory state and the patients present with excessive granuloma formation and HP. Control of inflammation either by avoidance of allergen exposure and by anti-inflammatory drugs is necessary for the relief of symptoms.
DOI: 10.1007/s10875-017-0376-8
PubMed: 28224353
Affiliations:
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Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author><author><name sortKey="Tezcan, Lhan" sort="Tezcan, Lhan" uniqKey="Tezcan " first=" Lhan" last="Tezcan"> Lhan Tezcan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Sıhhiye, 06100, Ankara, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Sıhhiye, 06100, Ankara</wicri:regionArea><wicri:noRegion>Ankara</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of clinical immunology</title><idno type="eISSN">1573-2592</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Alveolitis, Extrinsic Allergic (complications)</term><term>Alveolitis, Extrinsic Allergic (diagnosis)</term><term>Biomarkers</term><term>Granulomatous Disease, Chronic (complications)</term><term>Granulomatous Disease, Chronic (diagnosis)</term><term>Humans</term><term>Lung Diseases, Interstitial (diagnosis)</term><term>Lung Diseases, Interstitial (etiology)</term><term>Lung Diseases, Interstitial (physiopathology)</term><term>Male</term><term>Radiography, Thoracic</term><term>Respiratory Function Tests</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Alvéolite allergique extrinsèque ()</term><term>Alvéolite allergique extrinsèque (diagnostic)</term><term>Granulomatose septique chronique ()</term><term>Granulomatose septique chronique (diagnostic)</term><term>Humains</term><term>Marqueurs biologiques</term><term>Mâle</term><term>Pneumopathies interstitielles (diagnostic)</term><term>Pneumopathies interstitielles (physiopathologie)</term><term>Pneumopathies interstitielles (étiologie)</term><term>Radiographie thoracique</term><term>Tests de la fonction respiratoire</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Biomarkers</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Alveolitis, Extrinsic Allergic</term><term>Granulomatous Disease, Chronic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Alveolitis, Extrinsic Allergic</term><term>Granulomatous Disease, Chronic</term><term>Lung Diseases, Interstitial</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Alvéolite allergique extrinsèque</term><term>Granulomatose septique chronique</term><term>Pneumopathies interstitielles</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lung Diseases, Interstitial</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Pneumopathies interstitielles</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lung Diseases, Interstitial</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Pneumopathies interstitielles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Humans</term><term>Male</term><term>Radiography, Thoracic</term><term>Respiratory Function Tests</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Alvéolite allergique extrinsèque</term><term>Granulomatose septique chronique</term><term>Humains</term><term>Marqueurs biologiques</term><term>Mâle</term><term>Radiographie thoracique</term><term>Tests de la fonction respiratoire</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Interstitial lung disease (ILD) is a rare and heterogeneous group of disorder affecting the lung parenchyma and has a detrimental effect on gas exchange. Chronic granulomatous disease (CGD), when it affects primarily lungs, may cause ILD. We report a 16-year-old patient with CGD caused by homozygous deletion of NCF1 who atypically presented with ILD. The patient had many pigeons and was a pigeon breeder. Exacerbated clinical symptoms were linked to hypersensitivity pneumonitis (HP), and the patient was suggested to keep away from pigeons. In addition to allergen avoidance and prophylactic antibacterial therapy, treatment with corticosteroids and hydroxychloroquine was started for mainly obstructive and persistant symptoms of ILD. CGD is known to cause a hyperinflammatory state and the patients present with excessive granuloma formation and HP. Control of inflammation either by avoidance of allergen exposure and by anti-inflammatory drugs is necessary for the relief of symptoms.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li><li>Turquie</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><country name="Turquie"><noRegion><name sortKey="Esenboga, Saliha" sort="Esenboga, Saliha" uniqKey="Esenboga S" first="Saliha" last="Esenboga">Saliha Esenboga</name></noRegion><name sortKey="Cagdas, Deniz" sort="Cagdas, Deniz" uniqKey="Cagdas D" first="Deniz" last="Cagdas">Deniz Cagdas</name><name sortKey="Emiralioglu, Nagehan" sort="Emiralioglu, Nagehan" uniqKey="Emiralioglu N" first="Nagehan" last="Emiralioglu">Nagehan Emiralioglu</name><name sortKey="Erman, Baran" sort="Erman, Baran" uniqKey="Erman B" first="Baran" last="Erman">Baran Erman</name><name sortKey="Kiper, Nural" sort="Kiper, Nural" uniqKey="Kiper N" first="Nural" last="Kiper">Nural Kiper</name><name sortKey="Oguz, Berna" sort="Oguz, Berna" uniqKey="Oguz B" first="Berna" last="Oguz">Berna Oguz</name><name sortKey="Tezcan, Lhan" sort="Tezcan, Lhan" uniqKey="Tezcan " first=" Lhan" last="Tezcan"> Lhan Tezcan</name></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="De Boer, Martin" sort="De Boer, Martin" uniqKey="De Boer M" first="Martin" last="De Boer">Martin De Boer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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