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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
[Diagnosis of interstitial lung diseases with special reference to children]
Insights
Pediatric interstitial lung diseases are increasingly diagnosed, yet often missed due to infrequent lung function testing. Early detection by all pediatric specialists is crucial to prevent irreversible lung damage.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Childhood Interstitial Lung Diseases
Context:
- An observed rise in pediatric interstitial lung diseases (ILDs) necessitates a review of clinical and diagnostic approaches.
- ILDs in children are frequently underdiagnosed, hindering timely intervention.
- Systemic diseases can manifest as pulmonary disorders requiring careful monitoring.
Purpose:
- To enhance awareness of childhood interstitial lung diseases.
- To highlight the importance of lung function tests in pediatric ILD diagnosis and management.
- To emphasize the need for broader recognition of ILDs among various pediatric subspecialties.
Summary:
- Review of clinical and diagnostic aspects of interstitial lung diseases in children.
- Underscores the underdiagnosis of pediatric ILDs due to underutilization of pulmonary function tests.
- Discusses the potential for missed treatment failures in pulmonary disorders secondary to systemic diseases.
Impact:
- Aims to improve early diagnosis of pediatric ILDs, preventing advanced fibrosis.
- Encourages pediatricians and internists to recognize ILDs beyond specialist diagnosis.
- Facilitates timely and appropriate management of pediatric interstitial lung diseases.
Abstract:
An increase in the number of children with interstitial lung diseases observed over the last twelve months has prompted us to review the clinical and diagnostic aspects of this condition. Our aim is to increase the awareness of the fact that these diseases occur in childhood too where they are not diagnosed often enough, mainly because the necessary lung function tests are rarely done. Pulmonary disorders resulting from systemic diseases often improve with treatment of the underlying problem, but sometimes failure to improve cannot be detected because pulmonary function tests are not done. The presented not broad aetiologic spectrum of interstitial lung diseases shows that only the lung specialist, but also internists and paediatricians in all subspecialties should know about these entities, to avoid their being diagnosed by a specialist only when fibrosis has developed.
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