Evidence of unilateral diaphragmatic paralysis on lung scintigraphy after double lung transplantation: impact on lung function and survival

Author(s):  
Anna Warncke Kristensen ◽  
Anders Møller Greve ◽  
Rasmus H. Dahl ◽  
Michael Perch ◽  
Jann Mortensen ◽  
...  
2020 ◽  
pp. 4257-4259
Author(s):  
S. J. Bourke

Lymphangioleiomyomatosis is characterized by cystic destruction of the lungs due to abnormal proliferation of smooth muscle cells. It is caused by mutations of the genes encoding hamartin and tuberin, sometimes in association with tuberous sclerosis. CT imaging shows characteristic multiple thin-walled cysts. There is usually progressive airways obstruction and impaired gas diffusion, and two-thirds of patients suffer pneumothoraces. Sirolimus can stabilize lung function and improve symptoms. Patients should avoid exogenous oestrogens, including oestrogen contraceptives or hormonal replacement therapy. Pregnancy may be associated with an increased risk of pneumothorax and loss of lung function. Hormonal therapy with progesterone or tamoxifen appears to be ineffective: other antioestrogen therapies, such as letrozole, are being studied. Lung transplantation is the main option for advanced disease.


2014 ◽  
Vol 31 (4) ◽  
pp. 257-258
Author(s):  
C.M.V. Hottenrott ◽  
C. Tsagogiorgas ◽  
H.G.D. Leuvenink ◽  
M.E. Erasmus

CHEST Journal ◽  
2004 ◽  
Vol 126 (2) ◽  
pp. 412-419 ◽  
Author(s):  
Daniel B. Rosenbluth ◽  
Kevin Wilson ◽  
Thomas Ferkol ◽  
Daniel P. Schuster

CHEST Journal ◽  
2005 ◽  
Vol 128 (1) ◽  
pp. 472-473 ◽  
Author(s):  
Theodore G. Liou ◽  
Frederick R. Adler ◽  
Barbara C. Cahill

Author(s):  
Henrik Auråen ◽  
Arnt Fiane ◽  
Odd Geiran ◽  
Øystein Bjørtuft ◽  
Inga Leuckfeld ◽  
...  

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