Idiopathic Pulmonary Fibrosis in Infants: Good Prognosis with Conservative Management

Overview

Journal Arch Dis Child

Specialty Pediatrics

Date 2000 Jul 25

PMID 10906025

Citations 2

Authors

D Hacking

R Smyth

N Shaw

G Kokia

H Carty

D Heaf

Affiliations

Soon will be listed here.

Abstract

Background: Pulmonary interstitial fibrosis in children is a disease of unknown aetiology, usually associated with a poor prognosis.

Methods: In this case series we describe 11 children presenting over a 10 year period, managed conservatively and associated with a good prognosis.

Results: In six, symptoms were present from birth and 10 had symptoms at or before 3 months. Diagnosis was made using chest computed tomography and percutaneous lung biopsy. All patients were treated with oral prednisolone. In five no steroid response was noted. One patient responded to hydroxychloroquine. Home oxygen was required in five patients. At follow up all patients are alive at a median age of 6 years (range 1 to 12 years). The two recently diagnosed children have significant symptoms, seven have dyspnoea on exercise, and two are symptom free.

Conclusion: The good prognosis seen in these patients is different to previous case reports, indicating a greater than 50% mortality.

Citing Articles

Mesenchymal Stromal Cells for the Treatment of Interstitial Lung Disease in Children: A Look from Pediatric and Pediatric Surgeon Viewpoints.

Pelizzo G, Silvestro S, Avanzini M, Zuccotti G, Mazzon E, Calcaterra V Cells. 2021; 10(12).

PMID: 34943779 PMC: 8699409. DOI: 10.3390/cells10123270.

A physician survey reveals differences in management of idiopathic pulmonary hemosiderosis.

Chin C, Kohn S, Keens T, Margetis M, Kato R Orphanet J Rare Dis. 2015; 10:98.

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