1995
DOI: 10.1002/ppul.1950200505
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Pulmonary vascular disorders masquerading as interstitial lung disease

Abstract: During the acquisition of a series of 92 children with interstitial lung disease (ILD) over a 14 year period, a significant minority (8/92 or 9%) were initially diagnosed as having ILD, but were subsequently found to have a variety of arterial, venous, and/or capillary disorders that explained their initial pulmonary findings. This subgroup of patients has had a very high morbidity and mortality, with only three of eight patients currently surviving. The presentation, evaluation, and natural history of these e… Show more

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Cited by 36 publications
(26 citation statements)
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“…Because PVD can masquerade as diffuse lung disease, 540 screening for PAH in all infants and children with these diseases is clinically indicated. Furthermore, the presence of PAH in patients with interstitial lung disease is associated with a worse prognosis.…”
Section: Lung Diseasesmentioning
confidence: 99%
“…Because PVD can masquerade as diffuse lung disease, 540 screening for PAH in all infants and children with these diseases is clinically indicated. Furthermore, the presence of PAH in patients with interstitial lung disease is associated with a worse prognosis.…”
Section: Lung Diseasesmentioning
confidence: 99%
“…Arterial, venous, or lymphatic abnormalities masquerading as ILD by clinical and imaging criteria are known to account for a proportion of cases that come to lung biopsy (36). Of the nine cases in this category, six had a clinical diagnosis of pulmonary hypertension; however, five biopsies were performed for unexplained diffuse lung disease, while vascular abnormalities were suspected in four biopsies obtained at the time of cardiac repair.…”
Section: Disorders Masquerading As Ildmentioning
confidence: 99%
“…The trend toward worsening or improvement, age at presentation, immunocompetence, and family history (i.e., whether there are other family members with adult ILD, chILD diagnoses, or a history of neonatal respiratory failure) are also important factors (10,(21)(22)(23)(24). Regarding disease severity, this judgment may be based upon the degree of symptoms (25) and gas exchange abnormalities, or the presence of echocardiographic evidence of pulmonary hypertension (26). Imaging studies can demonstrate the distribution and extent of disease, but may not correlate with functional severity, response to therapy, or prognosis.…”
Section: Diagnostic Evaluation Overviewmentioning
confidence: 99%
“…The observations described here derive from a multicenter retrospective study (6), one single-center retrospective case series study (25), and two single-center prospective case series (13,26) that evaluated the prevalence of congenital cardiac and vascular disorders in children suspected of having ILD, as well as two diagnostic accuracy studies for echocardiographic evaluation of pulmonary hypertension in adults with DLDs (27,28). The studies also reported that pulmonary vascular disease negatively affects survival in children with ILD, a finding that is comparable to the negative prognosis of adults with pulmonary hypertension and ILD (29)(30)(31)(32).…”
Section: Diagnostic Testsmentioning
confidence: 99%