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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Pulmonary consolidation and inflammation: inflammatory pseudotumour in young children
C A Lindemans1, R A Bruinsma, P G J Nikkels
1Department of Pediatrics, Gelre Hospitals, Lukas location, The Netherlands. c.a.lindemans@umcutrecht.nl
Insights
Pulmonary inflammatory pseudotumours are rare in children and can mimic pneumonia. Early recognition and treatment are crucial to prevent serious outcomes, even in infants.
Area of Science:
- Pediatric Pulmonology
- Pediatric Oncology
- Pediatric Pathology
Background:
- Pulmonary inflammatory pseudotumours (PIPT) are rare neoplastic-like lesions.
- They often present insidiously, mimicking infectious processes like pneumonia.
- Early diagnosis is critical due to potential for significant morbidity.
Observation:
- Two pediatric cases of PIPT are presented.
- One patient was an infant as young as 6 months, highlighting rarity in very young children.
- Clinical presentation, diagnostic challenges, and management approaches were observed.
Findings:
- PIPT can present as a solid lung lesion that may not resolve or could progress.
- The condition poses diagnostic challenges, especially in infants.
- Management strategies and prognosis vary, emphasizing the need for individualized care.
Implications:
- This condition should be considered in pediatric patients with persistent or progressing inflammatory lung conditions.
- Awareness among clinicians is vital for timely diagnosis and appropriate management.
- Further research into PIPT in children may improve understanding and treatment outcomes.
Abstract:
Here we report two children with a pulmonary inflammatory pseudotumour; a rare entity in children, that often initially presents as a pneumonia, but with the possibility of serious consequences if unrecognised and untreated. One of the children presented is 6 months which is extremely young for this tumour. Difficulties in presentation, management strategies and prognosis are described. Certainly, this is a condition that should be considered even in a very young child with an inflammatory condition presenting as a solid lesion in the lung which does not resolve or even progresses.
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