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Diagnostic Workup of Childhood Interstitial Lung Disease

Abstract

Childhood interstitial lung diseases (chILDs) are rare and heterogeneous diseases with significant morbidity and mortality. An accurate and quick aetiological diagnosis may contribute to better management and personalised treatment. On behalf of the European Respiratory Society Clinical Research Collaboration for chILD (ERS CRC chILD-EU), this review summarises the roles of the general paediatrician, paediatric pulmonologists and expert centres in the complex diagnostic workup. Each patient's aetiological chILD diagnosis must be reached without prolonged delays in a stepwise approach from medical history, signs, symptoms, clinical tests and imaging, to advanced genetic analysis and specialised procedures including bronchoalveolar lavage and biopsy, if necessary. Finally, as medical progress is fast, the need to revisit a diagnosis of "undefined chILD" is stressed.

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References
1.
Kornum J, Christensen S, Grijota M, Pedersen L, Wogelius P, Beiderbeck A . The incidence of interstitial lung disease 1995-2005: a Danish nationwide population-based study. BMC Pulm Med. 2008; 8:24. PMC: 2642752. DOI: 10.1186/1471-2466-8-24. View

2.
Pearce M, Salotti J, Little M, McHugh K, Lee C, Kim K . Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012; 380(9840):499-505. PMC: 3418594. DOI: 10.1016/S0140-6736(12)60815-0. View

3.
Griese M, Haug M, Brasch F, Freihorst A, Lohse P, von Kries R . Incidence and classification of pediatric diffuse parenchymal lung diseases in Germany. Orphanet J Rare Dis. 2009; 4:26. PMC: 2800105. DOI: 10.1186/1750-1172-4-26. View

4.
Nathan N, Giraud V, Picard C, Nunes H, Dastot-Le Moal F, Copin B . Germline SFTPA1 mutation in familial idiopathic interstitial pneumonia and lung cancer. Hum Mol Genet. 2016; 25(8):1457-67. DOI: 10.1093/hmg/ddw014. View

5.
Klepper S, Muir N . Reference values on the 6-minute walk test for children living in the United States. Pediatr Phys Ther. 2011; 23(1):32-40. DOI: 10.1097/PEP.0b013e3182095e44. View