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Published on: June 16, 2020
Children's Interstitial and Diffuse Lung Disease. Progress and Future Horizons
1Department of Pediatrics, Pulmonary Medicine Section, University of Colorado, Denver, Colorado; and Breathing Institute, Children's Hospital Colorado, Aurora, Colorado.
Insights
Significant progress has been made in understanding and treating children's interstitial and diffuse lung disease (chILD). Future research and global collaboration promise new treatments for these rare pediatric lung disorders.
Area of Science:
- Pediatric Pulmonology
- Rare Diseases
- Genetics
Background:
- Children's interstitial and diffuse lung disease (chILD) comprises a diverse group of rare, severe pediatric lung disorders.
- Recent decades show marked advancements in chILD classification, care, and research infrastructure.
Purpose of the Study:
- To review historical developments in chILD.
- To highlight major clinical and research updates in chILD.
- To discuss future opportunities for chILD research and treatment.
Main Methods:
- Review of historical data and recent literature on chILD.
- Analysis of progress in disease classification and genetic definitions.
- Examination of organizational structures and collaborative efforts in chILD research.
Main Results:
- New chILD diseases have been identified and genetically defined.
- Classification systems have been developed and implemented.
- Dedicated organizations (chILDRN, chILD Foundation) and global collaborations have been established.
Conclusions:
- Substantial progress has enhanced the care of children with chILD.
- Future prospects include expanded scientific discovery and broader collaborations.
- The outlook is promising for developing novel treatments for these rare pediatric lung diseases.
Abstract:
Children's interstitial and diffuse lung disease (chILD) is a term that encompasses a large and diverse group of rare pediatric diseases and disorders. Significant progress has been made over the last 2 decades in classification, clinical care, research, and organizational structure to enhance the care of children with these high-morbidity and -mortality diseases. New diseases have been defined clinically and genetically, classification systems developed and applied, organizations formed such as the chILD Research Network (chILDRN) and chILD Foundation, and basic and translational science expanded to focus on chILD diseases. Multidisciplinary collaborations and efforts to advance understanding and treatment of chILD have been extended worldwide. The future horizon holds great promise to expand scientific discoveries, collaborate more broadly, and bring new treatment to these children. An overview of key historical past developments, major clinical and research updates, and opportunities for the future in chILD is reviewed in this Perspective.
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