The article presents the most modern positions of healthcare delivery for children with primary ciliary dyskinesia. Symptoms of this pathology in clinical practice vary that is conditioned by genetic heterogeneity of the disease. The most common disease manifestation in children is frequent inflammatory diseases of the upper and lower respiratory tract. They are recorded in most patients, especially in young children, and the diagnosis is often determined untimely due to a low awareness of specialists about this nosology. Differential diagnostic approach is described in detail, peculiarities of treatment and management of children with this nosology are specified. The material is based on clinical guidelines developed and approved by the professional association «Union of Pediatricians of Russia».
Hypersensitive pneumonitis (HP) is an interstitial lung disease occuring in childhood. This article demonstrates own long-running monitoring of a girl with HP at the age of 8. The development of the disease is linked to the home ecology. The diagnosis was based on data from the history, clinical symptoms with respiratory deficiency and crepitating wheezing in the lungs, characteristicfunctional and X-ray manifestations; it was proved by detection in the plasma of the blood of specific immunoglobulins of class G to cause-significant allergens. Elimination interventions and adequate treatment have enabled positive dynamics to be achieved during the disease
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