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Idiopathic pulmonary hemosiderosis: clinical profile and follow up of 26 children.

Identifieur interne : 000424 ( PubMed/Curation ); précédent : 000423; suivant : 000425

Idiopathic pulmonary hemosiderosis: clinical profile and follow up of 26 children.

Auteurs : S K Kabra [Inde] ; Sumit Bhargava ; Rakesh Lodha ; A. Satyavani ; M. Walia

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RBID : pubmed:17536132

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Abstract

To describe the clinical details and follow up of children with idiopathic pulmonary hemosiderosis.

PubMed: 17536132

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pubmed:17536132

Le document en format XML

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<title xml:lang="en">Idiopathic pulmonary hemosiderosis: clinical profile and follow up of 26 children.</title>
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<name sortKey="Kabra, S K" sort="Kabra, S K" uniqKey="Kabra S" first="S K" last="Kabra">S K Kabra</name>
<affiliation wicri:level="1">
<nlm:affiliation>Pediatric Pulmonology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. skkabra@hotmail.com</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Pediatric Pulmonology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Bhargava, Sumit" sort="Bhargava, Sumit" uniqKey="Bhargava S" first="Sumit" last="Bhargava">Sumit Bhargava</name>
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<name sortKey="Lodha, Rakesh" sort="Lodha, Rakesh" uniqKey="Lodha R" first="Rakesh" last="Lodha">Rakesh Lodha</name>
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<name sortKey="Satyavani, A" sort="Satyavani, A" uniqKey="Satyavani A" first="A" last="Satyavani">A. Satyavani</name>
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<name sortKey="Walia, M" sort="Walia, M" uniqKey="Walia M" first="M" last="Walia">M. Walia</name>
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<title xml:lang="en">Idiopathic pulmonary hemosiderosis: clinical profile and follow up of 26 children.</title>
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<name sortKey="Bhargava, Sumit" sort="Bhargava, Sumit" uniqKey="Bhargava S" first="Sumit" last="Bhargava">Sumit Bhargava</name>
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<name sortKey="Lodha, Rakesh" sort="Lodha, Rakesh" uniqKey="Lodha R" first="Rakesh" last="Lodha">Rakesh Lodha</name>
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<name sortKey="Walia, M" sort="Walia, M" uniqKey="Walia M" first="M" last="Walia">M. Walia</name>
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<term>Female</term>
<term>Glucocorticoids (therapeutic use)</term>
<term>Hemosiderosis (diagnosis)</term>
<term>Hemosiderosis (drug therapy)</term>
<term>Hemosiderosis (pathology)</term>
<term>Humans</term>
<term>Hydroxychloroquine (therapeutic use)</term>
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<term>Lung Diseases (diagnosis)</term>
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<term>Lung Diseases (pathology)</term>
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<term>Glucocorticoïdes (usage thérapeutique)</term>
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<term>Humains</term>
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<term>Hémosidérose (anatomopathologie)</term>
<term>Hémosidérose (diagnostic)</term>
<term>Hémosidérose (traitement médicamenteux)</term>
<term>Macrophages</term>
<term>Maladie aigüe</term>
<term>Maladies pulmonaires (anatomopathologie)</term>
<term>Maladies pulmonaires (diagnostic)</term>
<term>Maladies pulmonaires (traitement médicamenteux)</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Prednisolone (usage thérapeutique)</term>
<term>Études rétrospectives</term>
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<term>Hémosidérose</term>
<term>Maladies pulmonaires</term>
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<term>Hemosiderosis</term>
<term>Lung Diseases</term>
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<term>Hémosidérose</term>
<term>Maladies pulmonaires</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Hemosiderosis</term>
<term>Lung Diseases</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Hemosiderosis</term>
<term>Lung Diseases</term>
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<term>Hémosidérose</term>
<term>Maladies pulmonaires</term>
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<term>Glucocorticoïdes</term>
<term>Hormones corticosurrénaliennes</term>
<term>Hydroxychloroquine</term>
<term>Prednisolone</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Acute Disease</term>
<term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Macrophages</term>
<term>Male</term>
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<term>Adolescent</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Macrophages</term>
<term>Maladie aigüe</term>
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<front>
<div type="abstract" xml:lang="en">To describe the clinical details and follow up of children with idiopathic pulmonary hemosiderosis.</div>
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<pubmed>
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<PMID Version="1">17536132</PMID>
<DateCompleted>
<Year>2007</Year>
<Month>09</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0019-6061</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>44</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2007</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Indian pediatrics</Title>
<ISOAbbreviation>Indian Pediatr</ISOAbbreviation>
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<ArticleTitle>Idiopathic pulmonary hemosiderosis: clinical profile and follow up of 26 children.</ArticleTitle>
<Pagination>
<MedlinePgn>333-8</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To describe the clinical details and follow up of children with idiopathic pulmonary hemosiderosis.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective case series.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Pediatric chest clinic of a tertiary care hospital.</AbstractText>
<AbstractText Label="SUBJECTS" NlmCategory="METHODS">Children diagnosed as suffering from idiopathic pulmonary hemosiderosis (IPH).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Charts of patients diagnosed as IPH were reviewed for clinical features and treatment regimen. Diagnosis was based on presence of iron deficiency anemia, chest radiography and demonstration of hemosiderin laden macrophages in bronchoalveolar lavage (BAL), gastric aspirate, or sputum. Treatment consisted of oral prednisolone, hydroxychloroquine (HCQ) and inhaled corticosteroids (ICS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The common clinical features in 26 children with IPH (mean age 75 months) included: cough, breathlessness, fever, hemoptysis and wheezing in 26 (100%), 22 (85%), 19 (73%),15 (58%) and 14 (54%) children, respectively. Clubbing, hepatomegaly and splenomegaly was seen in 16 (62%), 15 (58%) and 10 (38%) children, respectively. Hemosiderin laden macrophages were documented in BAL and gastric aspirate in 92% and 30% patients, respectively. Symptoms did not recur in 17 patients who received prednisolone and HCQ initially. 5 patients had recurrence of symptoms and required short courses of oral prednisolone, 4 patients required frequent courses of prednisolone and were started on azathioprine. Older age, longer duration of illness, history of hemoptysis and jaundice were associated with poor response.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Treatment with prednisolone and hydroxychloroquine followed by inhaled corticosteroids may improve survival in children with IPH.</AbstractText>
</Abstract>
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<LastName>Kabra</LastName>
<ForeName>S K</ForeName>
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<Affiliation>Pediatric Pulmonology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. skkabra@hotmail.com</Affiliation>
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<ForeName>Sumit</ForeName>
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<LastName>Lodha</LastName>
<ForeName>Rakesh</ForeName>
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<Country>India</Country>
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<DescriptorName UI="D005938" MajorTopicYN="N">Glucocorticoids</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
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<DescriptorName UI="D006486" MajorTopicYN="N">Hemosiderosis</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<DescriptorName UI="D008264" MajorTopicYN="N">Macrophages</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011239" MajorTopicYN="N">Prednisolone</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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