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Marczak H, Krenke K, Griese M, Carlens J, Seidl E, Gilbert C, Emiralioglu N, Torrent-Vernetta A, Willemse B, Epaud R, Delestrain C, Louvrier C, Koucký V, Nathan N. An update on diagnosis and treatments of childhood interstitial lung diseases. Breathe (Sheff) 2025; 21:250004. [PMID: 40365093 PMCID: PMC12070201 DOI: 10.1183/20734735.0004-2025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2025] [Accepted: 03/05/2025] [Indexed: 05/15/2025] Open
Abstract
Childhood interstitial lung diseases (chILDs) are rare and heterogeneous disorders associated with significant morbidity and mortality. The clinical presentation of chILD typically includes chronic or recurrent respiratory signs and symptoms with diffuse radiographic abnormalities on chest imaging. Diagnosis requires a structured, multi-step approach. Treatment options are limited, with disease-specific therapies available only in selected cases and management relying primarily on supportive care. Awareness of chILDs has been steadily increasing. New diagnoses, advanced diagnostic tests, and novel treatments are emerging each year, highlighting the importance of collaborative, multidisciplinary teams in providing comprehensive care for children and families affected by these complex conditions. On behalf of the European Respiratory Society Clinical Research Collaboration for chILD (ERS CRC chILD-EU), this review provides an updated overview of the diagnostic approach and management strategies for chILDs.
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Affiliation(s)
- Honorata Marczak
- Department of Pediatric Pneumology and Allergy, Medical University of Warsaw, Warsaw, Poland
| | - Katarzyna Krenke
- Department of Pediatric Pneumology and Allergy, Medical University of Warsaw, Warsaw, Poland
| | - Matthias Griese
- Department of Paediatric Pneumology, Dr von Hauner Children's Hospital, German Centre for Lung Research, University of Munich, Munich, Germany
| | - Julia Carlens
- Clinic for Pediatric Pneumology, Hannover Medical School, Hannover, Germany
| | - Elias Seidl
- Division of Respiratory Medicine, University Children's Hospital Zurich, Zurich, Switzerland
| | - Carlee Gilbert
- Institute of Population Health, University of Liverpool, Liverpool, UK
| | - Nagehan Emiralioglu
- Department of Pediatric Pulmonology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Alba Torrent-Vernetta
- Pediatric Allergy and Pulmonology Section, Department of Pediatrics, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Brigitte Willemse
- Department of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Ralph Epaud
- Centre Hospitalier Intercommunal de Créteil, Service de Pédiatrie Générale, Centre de référence des maladies respiratoires rares, Créteil, France
- University Paris Est Créteil, INSERM, IMRB, Créteil, France
| | - Celine Delestrain
- Centre Hospitalier Intercommunal de Créteil, Service de Pédiatrie Générale, Centre de référence des maladies respiratoires rares, Créteil, France
- University Paris Est Créteil, INSERM, IMRB, Créteil, France
| | - Camille Louvrier
- Department of Molecular Genetics, Armand Trousseau Hospital, Assistance Publique Hôpitaux de Paris, Paris, France
- Laboratory of Childhood Genetic Diseases, Inserm UMR_S933, Sorbonne University, Armand Trousseau Hospital, Paris, France
| | - Václav Koucký
- Department of Paediatrics, 2nd Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic
| | - Nadia Nathan
- Laboratory of Childhood Genetic Diseases, Inserm UMR_S933, Sorbonne University, Armand Trousseau Hospital, Paris, France
- Pediatric Pulmonology Department and Reference centre for rare lung diseases RespiRare, Armand Trousseau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
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Briana D, Malamitsi-Puchner A, Di Renzo GC. Using ultrasound instead of X-ray to diagnose neonatal lung disease: an important milestone in the development of neonatal medicine. J Matern Fetal Neonatal Med 2024; 37:2311097. [PMID: 38326279 DOI: 10.1080/14767058.2024.2311097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Revised: 01/20/2024] [Accepted: 01/23/2024] [Indexed: 02/09/2024]
Affiliation(s)
- Despina Briana
- NICU, 3rd Department of Pediatrics, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Gian Carlo Di Renzo
- Centre of Perinatal and Reproductive Medicine, University of Perugia, Perugia, Italy
- Permanent International and European School of Perinatal and Reproductive Medicine, Florence, Italy
- Department of Obstetrics and Gynecology, The I. M. Sechenov First State University of Moscow, Moscow, Russia
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