Spontaneous pneumothorax in children in the South‐east of Turkey

Eren, Şevval; Gürkan, Fuat; Balcı, Akın Eraslan; Ülkü, Refık; Onat, Serdar; Eren, Mehmet Nesimi

doi:10.1111/j.1442-200x.2004.01957.x

Cited by 9 publications

(8 citation statements)

References 15 publications

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“…Pain was the most frequently described symptom in all but one of the studies reviewed. Where reported, there was an average incidence of pain of 69.25% (range, 9-100%) in the population studied, whereas dyspnoea was present in an average of 54.55% (range, 27-77.1%) [9,[18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, a wide range of other signs and symptoms are described in PSP. Most of them are respiratory-related, such as cough, cyanosis, haemoptysis, and subcutaneous and mediastinal emphysema (23.25%; range, 1.6-54.5%) [9,[18][19][20][21]. Other rare symptoms reported (e.g., abdominal pain, palpitation, fever, diaphoresis, difficulty in moving the arm, and loss of consciousness) can mimic other pathologies and, consequently, interfere with the diagnosis of PSP.…”

Section: Discussionmentioning

confidence: 99%

“…Pain was observed in 113 cases (99%), while dyspnoea was seen in 31 (27%). Eren et al [20] described the characteristics of PSP in 44 children in south-east Turkey (26 males; 59%). The most commonly observed symptom was breathlessness (32 patients; 72.7%), followed by cough (24 patients; 54.5%), and chest pain (four patients; 9%).…”

Section: Symptomsmentioning

confidence: 99%

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Age and Clinical Presentation for Primary Spontaneous Pneumothorax

Ghisalberti

Guerrera

Vico

et al. 2020

Heart, Lung and Circulation

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Age and Clinical Presentation for Primary Spontaneous Pneumothorax

Ghisalberti

Guerrera

Vico

et al. 2020

Heart, Lung and Circulation

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“…La tomografía computada de pulmón es una herramienta esencial para establecer e l d i a g n ó s t i c o d e H C L p u l m o n a r , y l o s principales hallazgos incluyen nódulos y quistes primariamente en lóbulos superiores, pero el diagnóstico definitivo requiere la demostración histológica de lesiones típicas, que contienen células de Langerhans en el tejido pulmonar, la presencia de gránulos de Birbeck por microscopia electrónica y de anticuerpos CD1a y S100 por inmunohistoquímica. [10][11][12] descripción del caso Niño de 2 años de edad, previamente sano, que presenta, con una semana de evolución, fiebre, hiporexia, rinorrea, tos y dificultad respiratoria progresiva.…”

Section: Introductionunclassified

Neumotórax bilateral espontáneo como forma de presentación de histiocitosis de células de Langerhans

2014

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ResumenLa histiocitosis de células de Langerhans pulmonar es una patología intersticial en la que existe un acúmulo de células histiocíticas específicas a nivel pulmonar. El neumotórax espontáneo es una complicación reconocida de histiocitosis de células de Langerhans pulmonar y es secundario a la destrucción del parénquima pulmonar con cambios quísticos asociados. Reportamos el caso de un niño de 2 años con neumotórax espontáneo bilateral recurrente, con una tomografía axial computada de tórax con infiltrado intersticial, fibrosis, lesiones quísticas e imágenes bullosas. El diagnóstico fue establecido por examen histológico e inmunohistoquímica de tejido de biopsia pulmonar con anticuerpos CD1 y S100 positivos. El niño recibió tratamiento con prednisona y etopósido, con buena respuesta clínica y tomográfica. Palabras clave: neumotórax espontáneo, histiocitosis de células de Langerhans pulmonar. ABsTRACTPulmonary Langerhans cell histiocytosis is an interstitial lung disease that results from the accumulation of specific histiocytic cells in the lung. Spontaneous pneumothorax is a recognized feature of pulmonary Langerhans cell histiocytosis and results from destruction of lung parenchyma with associated cystic changes. We report on a 2-year-old boy with recurrent bilateral spontaneous pneumothorax; a computed tomography scan showed marked interstitial changes, fibrosis, cystic spaces and bilateral bullae. The diagnosis was confirmed by the histology and the immunohistochemistry examination of the pulmonary biopsy with CD1 and S100 positive antibodies. The child was treated with prednisone and etoposide, and had a good clinical response and favorable changes in the second thoracic CT scan. Bilateral spontaneous pneumothorax as a setting of Langerhans cell histiocytosis InTRoduCCIónLa histiocitosis de células de Langerhans (HCL) comprende un grupo de enfermedades con diferente curso clínico. Previamente, se incluían en este grupo el granuloma eosinofílico, la enfermedad de Hand-Schüller-Christian y la enfermedad de Letterer-Siwe. Luego, se agruparon como histiocitosis X, que, en 1987, fue clasificada como histiocitosis de células de Langerhans. 1-2La HCL tiene una presentación variable: puede afectar a un solo órgano, como hueso, piel, nódulos linfáticos, pulmón y glándula pituitaria, o ser de afectación multisistémica, que incluye el sistema hematopoyético, hígado, bazo y pulmones, y que tiene una mortalidad significativamente alta. 3-4La afectación pulmonar por HCL es muy rara en niños; contrariamente, en adultos, se reporta entre un 90 y un 100% de asociación entre HCL pulmonar y antecedentes de tabaquismo. 5-6Se desconoce la prevalencia de HCL pulmonar. Informes de una serie de biopsias pulmonares en pacientes adultos con patología pulmonar intersticial reportan una frecuencia del 5% de HCL pulmonar.7 En una serie de 1382 pacientes adultos con patología pulmonar difusa, en 91 (6,6%), se estableció el diagnóstico de HCL pulmonar. 8Los pacientes con HCL pulmonar presentan síntomas respiratorios inespecíficos, c...

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“…Ayrıca kusurun ağırı, hafifi, ortası yoktur. "9 Kusuru derecelendirmeye dönük yanlış kullanım, sadece doktrin ve yargı kararlarında değil, kanunda da yer almaktadır. Örneğin, TBK m.52/II' de isabetsiz şekilde "hafif kusur" kavramı tercih edilmiştir.…”

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İhmalin Takdirinde Yeni Bir Ölçü: “Kişiselleştirilmiş Özen Ölçüsü”

Benli

2020

Marmara Üniversitesi Hukuk Fakültesi Hukuk Araştırmaları Dergisi

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Hukuk doktrininde ve uygulamasında ihmalin içeriği objektif ölçüye göre belirlenmektedir. Objektif ölçü, varsayımsal, ortalama ve makul tipi esas alan bir ölçüdür. Bu nedenle, hukuki eşitliği, öngörülebilirliği ve ekonomik etkinliği sağlayamamaktadır. Buna karşılık, failin bizzat kendisini ve davranışlarını esas alan ve fail özelinde bir özen standardı getiren kişiselleştirilmiş özen ölçüsü, hem hukuken hem de ekonomik olarak daha tercih edilebilir bir ölçüdür. Kişiselleştirilmiş özen ölçüsünün uygulanmasında Büyük Veri teknolojisi kritik bir öneme sahiptir. Türk hukukunda kişiselleştirilmiş özen ölçüsünün uygulanmasını engelleyen bir kuralın bulunmaması ve ülkemizde Büyük Veri alanında çalışan şirketlerin ulaştıkları yüksek seviye, mahkemelerin ihmalin içeriğinin tespitinde kişiselleştirilmiş özen ölçüsünü uygulamasını mümkün kılmaktadır.

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Spontaneous pneumothorax in children in the South‐east of Turkey

Abstract: Lung infections were the most frequently observed underlying pathology in the patients studied. Closed tube thoracostomy alone was sufficient for the majority of patients.

Cited by 9 publications

References 15 publications

Age and Clinical Presentation for Primary Spontaneous Pneumothorax

Age and Clinical Presentation for Primary Spontaneous Pneumothorax

Neumotórax bilateral espontáneo como forma de presentación de histiocitosis de células de Langerhans

İhmalin Takdirinde Yeni Bir Ölçü: “Kişiselleştirilmiş Özen Ölçüsü”

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