Case Series of 44 Patients With Idiopathic Acute Eosinophilic Pneumonia in the Deployed Military Setting

Sine, Christy R.; Allan, Patrick F.; Haynes, Ralph L.; Scoville, Stephanie L.; Shuping, Eric; Hultman, Anna; Osborn, Erik

doi:10.1378/chest.1115437

Cited by 6 publications

(1 citation statement)

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“…Continued collection of data from Landstuhl Regional Medical Center in Germany (the primary evacuation center for military patients from SWA) now shows there have been 44 diagnosed cases with an average BAL eosinophilia of 36.8 ± 20.9%. Ninety-three percent of the patients were smokers and 65% required mechanical ventilation [Sine et al 2011]. The frequency of AEP in the deployed population has significantly changed the management of acute pulmonary disorders from the theater for definitive diagnosis and treatment.…”

Section: Acute Eosinophilic Pneumoniamentioning

confidence: 99%

Diagnosis and management of chronic lung disease in deployed military personnel

Morris

Lucero

Zanders

et al. 2013

Ther Adv Respir Dis

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Abstract:Military personnel are a unique group of individuals referred to the pulmonary physician for evaluation. Despite accession standards that limit entrance into the military for individuals with various pre-existing lung diseases, the most common disorders found in the general population such as asthma and chronic obstructive pulmonary disease remain frequently diagnosed. Military personnel generally tend to be a more physically fit population who are required to exercise on a regular basis and as such may have earlier presentations of disease than their civilian counterparts. Exertional dyspnea is a common complaint; establishing a diagnosis may be challenging given the subtle nature of symptoms and lack of specificity with pulmonary function testing. The conflicts over the past 10 years in Iraq and Afghanistan have also given rise to new challenges for deployed military. Various respiratory hazards in the deployed environment include suspended geologic dusts, burn pits, vehicle exhaust emissions, industrial air pollution, and isolated exposure incidents and may give rise to both acute respiratory symptoms and chronic lung disease. In the evaluation of deployed military personnel, establishing the presence of actual pulmonary disease and the relationship of existing disease to deployment is an ongoing issue to both military and civilian physicians. This paper reviews the current evidence for chronic lung disease in the deployed military population and addresses any differences in diagnosis and management.

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Section: Acute Eosinophilic Pneumoniamentioning

confidence: 99%

Diagnosis and management of chronic lung disease in deployed military personnel

Morris

Lucero

Zanders

et al. 2013

Ther Adv Respir Dis

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Evaluation of pulmonary symptoms following military deployment

2016

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Airborne Hazards Exposure and Respiratory Health of Iraq and Afghanistan Veterans

Falvo¹,

Osinubi²,

Sotolongo³

et al. 2015

Epidemiologic Reviews

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More than 2.6 million military personnel have been deployed to recent conflicts in Iraq and Afghanistan and were likely exposed to a variety of airborne hazards during deployment. Despite several epidemiologic reports of increased respiratory symptoms, whether or not these respiratory illnesses lead to reductions in lung function and/or specific pulmonary disease is unclear. We reviewed data published from 2001 to 2014 pertaining to respiratory health in military personnel deployed to Iraq and Afghanistan and found 19 unique studies. Study designs were primarily retrospective and observational in nature with patient symptom reporting and medical encounter data as primary outcome measures. Two case series reported on rare respiratory diseases, and one performed a standardized evaluation of new-onset respiratory symptoms. Respiratory outcomes in relation to proximity to a specific air pollution source (i.e., smoke from burning trash and sulfur mine fire) were described in 2 separate studies. Only 2 longitudinal investigations were identified comparing pre- and postdeployment measurement of exercise capacity. In summary, published data based on case reports and retrospective cohort studies suggest a higher prevalence of respiratory symptoms and respiratory illness consistent with airway obstruction. However, the association between chronic lung disease and airborne hazards exposure requires further longitudinal research studies with objective pulmonary assessments.

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Case Series of 44 Patients With Idiopathic Acute Eosinophilic Pneumonia in the Deployed Military Setting

Cited by 6 publications

References 0 publications

Diagnosis and management of chronic lung disease in deployed military personnel

Diagnosis and management of chronic lung disease in deployed military personnel

Evaluation of pulmonary symptoms following military deployment

Airborne Hazards Exposure and Respiratory Health of Iraq and Afghanistan Veterans

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