The chest X-ray features of chronic respiratory disease in HIV-infected children--a review
| Autor: | Richard D. Pitcher, Heather J. Zar, Stephen J. Beningfield |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Respiratory System Respiratory Tract Diseases HIV Infections Disease Pulmonary tuberculosis Internal medicine Hiv infected medicine Humans Intensive care medicine Child Tuberculosis Pulmonary Bronchiectasis medicine.diagnostic_test business.industry Respiratory disease Mediastinum medicine.disease Natural history Pediatrics Perinatology and Child Health Chronic Disease Multiple Pulmonary Nodules Radiography Thoracic Prospective research Chest radiograph business Lung Diseases Interstitial |
| Zdroj: | Paediatric respiratory reviews. 16(4) |
| ISSN: | 1526-0550 |
| Popis: | Several features of human immunodeficiency virus (HIV) infection contribute to the development of chronic respiratory disease in children. These include the frequency and severity of acute chest infections, as well as the increased risk of pulmonary tuberculosis, aspiration, cardiovascular disease, lymphocytic interstitial pneumonitis or pulmonary neoplasia. The chest radiograph (CXR) remains the most accessible investigation for respiratory disease and plays an important role in the baseline assessment and follow-up. This review focuses on the CXR abnormalities of HIV-related chronic respiratory disease in children. The most commonly documented chronic CXR abnormalities are homogeneous opacification and pulmonary nodules, with pulmonary tuberculosis and lymphocytic interstitial pneumonitis the leading respective causes. Deficiencies in radiographic reporting methodology and relative paucity of radiographic data contribute to current limitations in knowledge and understanding of this field. The review highlights the need for standardised terminology and systematic reporting methodology in future studies. Prospective research on the natural history of lymphocytic interstitial pneumonitis, response to anti-tuberculous therapy, the impact of anti-retroviral therapy and HIV-associated bronchiectasis are needed. |
| Databáze: | OpenAIRE |
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