Enfermedad pulmonar intersticial linfocítica granulomatosa: descripción de una serie de 9 casos

Ruiz-Alcaraz, Sandra; García‐Manso, Ignacio Gayá; Calle, Francisco Manuel Marco-De La; García-Mullor, María del Mar; López-Brull, Helena; García-Sevila, Raquel

doi:10.1016/j.medcli.2020.11.033

Medicina Clínica

2021

DOI: 10.1016/j.medcli.2020.11.033

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Enfermedad pulmonar intersticial linfocítica granulomatosa: descripción de una serie de 9 casos

Sandra Ruiz-Alcaraz

Ignacio Gayá García‐Manso

Francisco Manuel Marco-De La Calle

et al.

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Cited by 2 publications

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Current Practices and Considerations in Lung Biopsy for Suspected Granulomatous-Lymphocytic Interstitial Lung Disease: A Clinician Survey

Bintalib,

Davidsen,

Van de Ven

et al. 2024

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Introduction: This study explores clinicians' diagnostic practices and perceptions in the context of Granulomatous-Lymphocytic Interstitial Lung Disease (GLILD), a pulmonary manifestation of Common Variable Immunodeficiency Disorder (CVID). The aim was to gain valuable insights into key aspects, such as the utilization of radiological features for diagnostic purposes, indications for lung biopsy, preferred biopsy techniques, and the relative importance of different histopathological findings in confirming GLILD. Method: A survey targeting expert clinicians was conducted, focusing on their experiences, practices, and attitudes towards lung biopsy in suspected GLILD cases. Results: The survey revealed that the majority of respondents accepted High-Resolution Computed Tomography (HRCT) as a sufficient alternative to biopsy for making a probable GLILD diagnosis in most patients. There was a consensus among most respondents that the presence of extra-pulmonary granulomatous disease is adequate for making a diagnosis of GLILD where the chest imaging and clinical picture are consistent. When a biopsy was recommended, there was notable variation in the preferred initial biopsy technique, with 35% favouring transbronchial biopsy. Conclusion: Our findings underscore the complexity of diagnosing GLILD, indicating varied clinician opinions on the necessity and efficacy of lung biopsies. They highlight the need for further research and the development of consistent diagnostic criteria and management protocols, ultimately aiming to enhance the accuracy and safety of GLILD diagnosis and treatment strategies.

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Current Practices and Considerations in Lung Biopsy for Suspected Granulomatous-Lymphocytic Interstitial Lung Disease: A Clinician Survey

Bintalib,

Davidsen,

Van de Ven

et al. 2024

Respiration

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Diagnostic testing for interstitial lung disease in common variable immunodeficiency: a systematic review

et al. 2023

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IntroductionCommon variable immunodeficiency related interstitial lung disease (CVID-ILD, also referred to as GLILD) is generally considered a manifestation of systemic immune dysregulation occurring in up to 20% of people with CVID. There is a lack of evidence-based guidelines for the diagnosis and management of CVID-ILD.AimTo systematically review use of diagnostic tests for assessing patients with CVID for possible ILD, and to evaluate their utility and risks.MethodsEMBASE, MEDLINE, PubMed and Cochrane databases were searched. Papers reporting information on the diagnosis of ILD in patients with CVID were included.Results58 studies were included. Radiology was the investigation modality most commonly used. HRCT was the most reported test, as abnormal radiology often first raised suspicion of CVID-ILD. Lung biopsy was used in 42 (72%) of studies, and surgical lung biopsy had more conclusive results compared to trans-bronchial biopsy (TBB). Analysis of broncho-alveolar lavage was reported in 24 (41%) studies, primarily to exclude infection. Pulmonary function tests, most commonly gas transfer, were widely used. However, results varied from normal to severely impaired, typically with a restrictive pattern and reduced gas transfer.ConclusionConsensus diagnostic criteria are urgently required to support accurate assessment and monitoring in CVID-ILD. ESID and the ERS e-GLILDnet CRC have initiated a diagnostic and management guideline through international collaboration.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42022276337.

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Enfermedad pulmonar intersticial linfocítica granulomatosa: descripción de una serie de 9 casos

Cited by 2 publications

References 10 publications

Current Practices and Considerations in Lung Biopsy for Suspected Granulomatous-Lymphocytic Interstitial Lung Disease: A Clinician Survey

Current Practices and Considerations in Lung Biopsy for Suspected Granulomatous-Lymphocytic Interstitial Lung Disease: A Clinician Survey

Diagnostic testing for interstitial lung disease in common variable immunodeficiency: a systematic review

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