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Updated: May 8, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Interstitial lung disease in children
Salvatore Cazzato1, Emanuela di Palmo, Vincenzo Ragazzo
1Department of Pediatrics, University of Bologna, S. Orsola-Malpighi Hospital Bologna, Italy.
Insights
Children's interstitial lung disease (ILD) comprises rare respiratory disorders in children. Early diagnosis and tailored treatment strategies are crucial for managing these complex conditions.
Area of Science:
- Pediatric Pulmonology
- Rare Respiratory Diseases
- Interstitial Lung Disease
Background:
- Children's interstitial lung disease (ILD) encompasses diverse rare respiratory disorders.
- These conditions present significant morbidity and mortality in pediatric populations.
- Pathogenesis involves genetic factors, systemic diseases, and inflammatory/fibrotic repair patterns.
Purpose of the Study:
- To review entities unique to pediatric interstitial lung disease.
- Focus on clinical characteristics, histologic definitions, and radiologic-pathologic correlations.
- To discuss therapeutic strategies for pediatric ILD.
Main Methods:
- Comprehensive review of literature on pediatric ILD.
- Emphasis on entities specific to children.
- Integration of clinical, imaging, genetic, and histopathologic data.
Main Results:
- Key pediatric ILDs include diffuse developmental disorders, alveolar growth abnormalities, genetic surfactant disorders, pulmonary interstitial glycogenosis, and neuroendocrine cell hyperplasia of infancy.
- Diagnostic challenges can lead to delayed treatment.
- Multidisciplinary approach including imaging, PFTs, genetic testing, BAL, and biopsy is essential.
Conclusions:
- Pediatric ILD requires specialized diagnostic and management approaches.
- Understanding unique pediatric entities is vital for timely and effective treatment.
- Radiologic-pathologic correlation and genetic insights guide therapeutic strategies.
Abstract:
Children's interstitial lung disease (ILD) includes a wide range of rare respiratory disorders associated with high morbidity and mortality. Genetic factors, systemic disease processes, nonspecific inflammatory or fibrotic patterns of repair seen in a number of clinical settings are involved in the ILD pathogenesis. Specific disorders more prevalent in young children include diffuse developmental disorders, alveolar growth abnormalities, genetic surfactant disorders, pulmonary interstitial glycogenosis and neuroendocrine cell hyperplasia of infancy. It may be difficult to recognize these entities and this can lead to delayed treatment. The diagnostic approach is based on a combination of history/physical examinations, imaging studies, pulmonary function testing, genetic testing, bronchoalveolar lavage (BAL) and in most cases an open lung biopsy. Although some disease types overlap with those seen in adults, in this review emphasis is placed on entities unique to the pediatric population focusing on clinical characteristics, histologic definitions, radiologic-pathologic correlation and therapeutic strategies.
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