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Desquamative interstitial pneumonia in a child related to cigarette smoke.

Identifieur interne : 000206 ( Ncbi/Merge ); précédent : 000205; suivant : 000207

Desquamative interstitial pneumonia in a child related to cigarette smoke.

Auteurs : Mariam Ischander [États-Unis] ; Leland L. Fan ; Vanda Farahmand ; Claire Langston ; Shahram Yazdani

Source :

RBID : pubmed:23775787

Descripteurs français

English descriptors

Abstract

An 8-year-old white male was referred to our clinic for a 1-year history of decreased appetite and no weight gain. His entire workup failed to demonstrate cystic fibrosis, or any infectious or immune-related diseases. Chest imaging and clinical picture suggested parenchymal lung disease. Histopathology examination of the video-assisted thoracoscopic biopsy of his lungs showed a desquamative interstitial pneumonia (DIP)-like pattern that resembled that of adult smokers with the same disease. Genes for surfactant proteins B and C and the transporter ABCA3 were all negative. Furthermore, lack of any genetic disorder for surfactant proteins, along with his history of heavy exposure to 10 pack-years of indoor secondhand smoke suggests that this child's DIP is due to secondhand cigarette exposure. He had nearly complete resolution of his symptoms after a year of treatments with pulse steroid and hydroxycholoroquine. To the best of our knowledge this is the first case of cigarette smoke-related DIP reported in a child.

DOI: 10.1002/ppul.22812
PubMed: 23775787

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pubmed:23775787

Le document en format XML

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