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Characteristics of disorders associated with genetic mutations of surfactant protein C.

Identifieur interne : 000386 ( PubMed/Checkpoint ); précédent : 000385; suivant : 000387

Characteristics of disorders associated with genetic mutations of surfactant protein C.

Auteurs : Guillaume Thouvenin [France] ; Rola Abou Taam ; Florence Flamein ; Loïc Guillot ; Muriel Le Bourgeois ; Philippe Reix ; Mickael Fayon ; François Counil ; Ulrika Depontbriand ; Delphine Feldmann ; Hubert Ducou-Le Pointe ; Jacques De Blic ; Annick Clement ; Ralph Epaud

Source :

RBID : pubmed:20403820

Descripteurs français

English descriptors

Abstract

To present diagnosis and treatment modalities of children with interstitial lung disease associated with frequent or rare surfactant protein C gene (SFTPC) mutation.

DOI: 10.1136/adc.2009.171553
PubMed: 20403820


Affiliations:


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pubmed:20403820

Le document en format XML

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<div type="abstract" xml:lang="en">To present diagnosis and treatment modalities of children with interstitial lung disease associated with frequent or rare surfactant protein C gene (SFTPC) mutation.</div>
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<AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">To present diagnosis and treatment modalities of children with interstitial lung disease associated with frequent or rare surfactant protein C gene (SFTPC) mutation.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Twenty-two children with chronic lung disease associated with SFTPC mutation in a heterozygous form.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mutations located in the BRICHOS domain ('BRICHOS domain' group) were identified in six children, whereas 16 children carried mutations located outside the BRICHOS domain ('non-BRICHOS domain' group). The median age of onset was 3 (0-24) months. Four patients had neonatal respiratory distress, and symptom onset was associated with acute bronchiolitis in nine patients. Cough, tachypnoea and failure to thrive were initially noticed in all the children. Physical examination at presentation revealed tachypnoea (n=22), clubbing (n=1) and crackles (n=5). Low oxygen saturation (<95%) was observed in 18 patients. The predominant findings on initial high-resolution CT (HRCT) scans were basal-predominant ground-glass opacity (n=21) and cystic spaces (n=3). Bronchoalveolar lavage fluid (BALF) cell counts showed 379+/-56x10(3) cells/ml with increased neutrophil percentage (18+/-4%) independent of the mutation status. The median follow-up was 3.2 (1-18.3) years. Eighteen patients were treated by monthly methylprednisolone pulses associated with oral prednisolone (n=16), hydroxychloroquine (n=11) and/or azithromycin (n=4). Fifteen patients benefited from enteral nutrition.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Initial diagnosis is based on clinical presentation, radiological features and BALF analysis, but the definitive diagnosis requires genetic analysis. Although progressive improvement was seen in most patients, the development of new therapeutic strategies with minimal side effects is needed.</AbstractText>
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<name sortKey="Feldmann, Delphine" sort="Feldmann, Delphine" uniqKey="Feldmann D" first="Delphine" last="Feldmann">Delphine Feldmann</name>
<name sortKey="Flamein, Florence" sort="Flamein, Florence" uniqKey="Flamein F" first="Florence" last="Flamein">Florence Flamein</name>
<name sortKey="Guillot, Loic" sort="Guillot, Loic" uniqKey="Guillot L" first="Loïc" last="Guillot">Loïc Guillot</name>
<name sortKey="Le Bourgeois, Muriel" sort="Le Bourgeois, Muriel" uniqKey="Le Bourgeois M" first="Muriel" last="Le Bourgeois">Muriel Le Bourgeois</name>
<name sortKey="Pointe, Hubert Ducou Le" sort="Pointe, Hubert Ducou Le" uniqKey="Pointe H" first="Hubert Ducou-Le" last="Pointe">Hubert Ducou-Le Pointe</name>
<name sortKey="Reix, Philippe" sort="Reix, Philippe" uniqKey="Reix P" first="Philippe" last="Reix">Philippe Reix</name>
</noCountry>
<country name="France">
<region name="Île-de-France">
<name sortKey="Thouvenin, Guillaume" sort="Thouvenin, Guillaume" uniqKey="Thouvenin G" first="Guillaume" last="Thouvenin">Guillaume Thouvenin</name>
</region>
</country>
</tree>
</affiliations>
</record>

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