Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review
Parenchymal lung involvement (PLI) in adult-onset Still's disease (AOSD) has seldom, if ever, been studied. We examine here retrospective cohort AOSD cases and present a review of the literature (1971–2014) on AOSD-related PLI cases. Patients with PLI were identified in 57 AOSD cases. For inclu...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer Health
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265835/ https://www.ncbi.nlm.nih.gov/pubmed/27472698 http://dx.doi.org/10.1097/MD.0000000000004258 |
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author | Gerfaud-Valentin, Mathieu Cottin, Vincent Jamilloux, Yvan Hot, Arnaud Gaillard-Coadon, Agathe Durieu, Isabelle Broussolle, Christiane Iwaz, Jean Sève, Pascal |
author_facet | Gerfaud-Valentin, Mathieu Cottin, Vincent Jamilloux, Yvan Hot, Arnaud Gaillard-Coadon, Agathe Durieu, Isabelle Broussolle, Christiane Iwaz, Jean Sève, Pascal |
author_sort | Gerfaud-Valentin, Mathieu |
collection | PubMed |
description | Parenchymal lung involvement (PLI) in adult-onset Still's disease (AOSD) has seldom, if ever, been studied. We examine here retrospective cohort AOSD cases and present a review of the literature (1971–2014) on AOSD-related PLI cases. Patients with PLI were identified in 57 AOSD cases. For inclusion, the patients had to fulfill Yamaguchi or Fautrel classification criteria, show respiratory symptoms, and have imaging evidence of pulmonary involvement, and data allowing exclusion of infectious, cardiogenic, toxic, or iatrogenic cause of PLI should be available. This AOSD + PLI group was compared with a control group (non–PLI-complicated AOSD cases from the same cohort). AOSD + PLI was found in 3 out of the 57 patients with AOSD (5.3%) and the literature mentioned 27 patients. Among these 30 AOSD + PLI cases, 12 presented an acute respiratory distress syndrome (ARDS) and the remaining 18 another PLI. In the latter, a nonspecific interstitial pneumonia computed tomography pattern prevailed in the lower lobes, pulmonary function tests showed a restrictive lung function, the alveolar differential cell count was neutrophilic in half of the cases, and the histological findings were consistent with bronchiolitis and nonspecific interstitial pneumonia. Corticosteroids were fully efficient in all but 3 patients. Ten out of 12 ARDS cases occurred during the first year of the disease course. All ARDS-complicated AOSD cases received corticosteroids with favorable outcomes in 10 (2 deceased). Most PLIs occurred during the systemic onset of AOSD. PLI may occur in 5% of AOSDs, of which ARDS is the most severe. Very often, corticosteroids are efficient in controlling this complication. |
format | Online Article Text |
id | pubmed-5265835 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-52658352017-02-03 Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review Gerfaud-Valentin, Mathieu Cottin, Vincent Jamilloux, Yvan Hot, Arnaud Gaillard-Coadon, Agathe Durieu, Isabelle Broussolle, Christiane Iwaz, Jean Sève, Pascal Medicine (Baltimore) 6900 Parenchymal lung involvement (PLI) in adult-onset Still's disease (AOSD) has seldom, if ever, been studied. We examine here retrospective cohort AOSD cases and present a review of the literature (1971–2014) on AOSD-related PLI cases. Patients with PLI were identified in 57 AOSD cases. For inclusion, the patients had to fulfill Yamaguchi or Fautrel classification criteria, show respiratory symptoms, and have imaging evidence of pulmonary involvement, and data allowing exclusion of infectious, cardiogenic, toxic, or iatrogenic cause of PLI should be available. This AOSD + PLI group was compared with a control group (non–PLI-complicated AOSD cases from the same cohort). AOSD + PLI was found in 3 out of the 57 patients with AOSD (5.3%) and the literature mentioned 27 patients. Among these 30 AOSD + PLI cases, 12 presented an acute respiratory distress syndrome (ARDS) and the remaining 18 another PLI. In the latter, a nonspecific interstitial pneumonia computed tomography pattern prevailed in the lower lobes, pulmonary function tests showed a restrictive lung function, the alveolar differential cell count was neutrophilic in half of the cases, and the histological findings were consistent with bronchiolitis and nonspecific interstitial pneumonia. Corticosteroids were fully efficient in all but 3 patients. Ten out of 12 ARDS cases occurred during the first year of the disease course. All ARDS-complicated AOSD cases received corticosteroids with favorable outcomes in 10 (2 deceased). Most PLIs occurred during the systemic onset of AOSD. PLI may occur in 5% of AOSDs, of which ARDS is the most severe. Very often, corticosteroids are efficient in controlling this complication. Wolters Kluwer Health 2016-07-29 /pmc/articles/PMC5265835/ /pubmed/27472698 http://dx.doi.org/10.1097/MD.0000000000004258 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 6900 Gerfaud-Valentin, Mathieu Cottin, Vincent Jamilloux, Yvan Hot, Arnaud Gaillard-Coadon, Agathe Durieu, Isabelle Broussolle, Christiane Iwaz, Jean Sève, Pascal Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title | Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title_full | Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title_fullStr | Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title_full_unstemmed | Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title_short | Parenchymal lung involvement in adult-onset Still disease: A STROBE-compliant case series and literature review |
title_sort | parenchymal lung involvement in adult-onset still disease: a strobe-compliant case series and literature review |
topic | 6900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265835/ https://www.ncbi.nlm.nih.gov/pubmed/27472698 http://dx.doi.org/10.1097/MD.0000000000004258 |
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