Idiopathic eosinophilic pneumonia in children: the French experience.

Background: Idiopathic eosinophilic pneumonia is extremely rare in children and adults. We present herein the first series describing the specificities of idiopathic chronic (ICEP) and acute (IAEP) eosinophilic pneumonia in children.Methods: We retrospectively analyzed all cases of ICEP and IAEP in...

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Publicado en:Orphanet Journal of Rare Diseases Vol. 9; no. 1; pp. 28 - 29
Autores principales: Giovannini-Chami, Lisa, Hadchouel, Alice, Nathan, Nadia, Brémont, Francois, Dubus, Jean-Christophe, Fayon, Michael, Houdouin, Véronique, Berlioz-Baudoin, Michèle, Feret, Virginie, Leblanc, Thierry, Morelle, Karine, Albertini, Marc, Clement, Annick, de Blic, Jacques
Formato: research Journal Article
Publicado: BioMed Central 2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2014
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      pub: BioMed Central
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        10.1186/1750-1172-9-28
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        atl: Idiopathic eosinophilic pneumonia in children: the French experience.
      aug:
        au:
          Giovannini-Chami, Lisa
          Hadchouel, Alice
          Nathan, Nadia
          Brémont, Francois
          Dubus, Jean-Christophe
          Fayon, Michael
          Houdouin, Véronique
          Berlioz-Baudoin, Michèle
          Feret, Virginie
          Leblanc, Thierry
          Morelle, Karine
          Albertini, Marc
          Clement, Annick
          de Blic, Jacques
        affil: Pediatric Pulmonology and Allergy Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice F-06200, France. giovannini-chami.l@pediatrie-chulenval-nice.fr.
      sug:
        subj:
          Pulmonary Eosinophilia Physiopathology
          Adolescence
          Body Fluids
          Child
          Child, Preschool
          Female
          France
          Human
          Male
          Pulmonary Eosinophilia Drug Therapy
          Pulmonary Eosinophilia Epidemiology
          Pulmonary Eosinophilia Radiography
          Retrospective Design
          Tomography, X-Ray Computed Methods
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: Background: Idiopathic eosinophilic pneumonia is extremely rare in children and adults. We present herein the first series describing the specificities of idiopathic chronic (ICEP) and acute (IAEP) eosinophilic pneumonia in children.Methods: We retrospectively analyzed all cases of ICEP and IAEP in children that were retrieved from French Reference Centers for rare pediatric lung diseases.Results: Five cases of pediatric ICEP were identified. Corticosteroid or immunosuppressive therapy dramatically improved the outcome in three cases. The remaining two cases had a persistent interstitial pattern with progressive development of cystic airspace lesions. Three cases of IAEP in adolescents were reported, with one requiring four days of extracorporeal membrane oxygenation.Conclusion: ICEP is a rare disease with a polymorphic clinical presentation in children. We identified patients with persistent interstitial patterns progressing to cystic airspace regions, for which the boundaries with idiopathic interstitial pneumonias are difficult to establish. We therefore propose a specific pediatric definition and classification algorithm. IAEP in children remains an inflammatory reaction of the lung to an acute toxic exposure, mainly tobacco, as in adults. International studies are required to comprehensively assess the various clinical forms of the disease as well as the appropriate therapeutic regimens.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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