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Tytuł pozycji:

Risk factors for recurrent pulmonary exacerbation in idiopathic pulmonary hemosiderosis.

Tytuł:
Risk factors for recurrent pulmonary exacerbation in idiopathic pulmonary hemosiderosis.
Autorzy:
Hizal M; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Eryilmaz Polat S; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ramasli Gursoy T; Pediatric Pulmonology, Gazi University Faculty of Medicine, Ankara, Turkey.
Ozsezen B; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ademhan Tural D; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Karakaya J; Department of Biostatistic, Hacettepe University, Ankara, Turkey.
Emiralioglu N; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Pekcan S; Pediatric Pulmonology, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey.
Tana Aslan A; Pediatric Pulmonology, Gazi University Faculty of Medicine, Ankara, Turkey.
Yalcin E; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Dogru D; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ozcelik U; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Kiper N; Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Źródło:
Pediatric pulmonology [Pediatr Pulmonol] 2021 May; Vol. 56 (5), pp. 1060-1068. Date of Electronic Publication: 2021 Mar 17.
Typ publikacji:
Journal Article; Multicenter Study
Język:
English
Imprint Name(s):
Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: [Philadelphia, PA] : W.B. Saunders, [c1985-
MeSH Terms:
Hemosiderosis*
Lung Diseases*
Adolescent ; Child ; Child, Preschool ; Humans ; Infant ; Retrospective Studies ; Risk Factors ; Hemosiderosis, Pulmonary
References:
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Contributed Indexing:
Keywords: anemia; children; hemoptysis; interstitial lung disease
Entry Date(s):
Date Created: 20201128 Date Completed: 20211020 Latest Revision: 20231213
Update Code:
20240105
DOI:
10.1002/ppul.25189
PMID:
33247613
Czasopismo naukowe
Objectives: To evaluate the risk factors of recurrent pulmonary exacerbation and poor prognosis in children with idiopathic pulmonary hemosiderosis (IPH).
Methods: In this multicenter study, 54 patients with a diagnosis of IPH were included. Medical records were retrospectively reviewed from three tertiary care hospitals between 1979 and 2019. Also, current information and the long-term progress of patients was determined by contacting the families by telephone.
Results: A total of 54 children were included. The median age of onset of symptoms was 4.5 years (3 months to 15.8 years). The median time from onset to diagnosis was 0.9 years (0.25 months to 12 years). The mean number of recurrent episodes per child in the recurrence-positive group was 3.55 (1-15). Univariate analysis demonstrated that patients presenting with hypoxia or requiring transfusion at the time of presentation had significantly more recurrence episodes (p = .002). Multivariate analysis showed that the presence of hypoxia at the time of initial presentation was a significant independent predictor of recurrent episodes (p = .027). The median follow-up was 3.3 years (0.75 months to 27 years). There was a significant relationship between the presence of hypoxia, transfusion history, antinuclear antibody positivity, and elevated transaminases at the time of initial evaluation and treatment response.
Conclusions: The present study provides substantial information regarding factors that may affect recurrent exacerbations and prognosis in children with IPH. Demonstrating hypoxia as an independent risk factor in recurrence episodes could guide physicians in the planning of treatment strategies.
(© 2020 Wiley Periodicals LLC.)

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