Stasis Papillomatosis Clinical Features, Etiopathogenesis and Radiological Findings

Background: Adenoid is a prevalent condition among children. Adenoidectomy has been done based on clinical symptoms. The purpose of this study is to determine the agreement between clinical features of adenoid enlargement, X-ray and adenoid size.Methods: Hundred symptomatic children were enrolled into this study at ENT. Department of Al-Bin Sina teaching hospital in Mosul city of Iraq. History was taken, clinical examination for adenoid enlargement and skull X-ray (lateral view) were performed for all children with assessment of adenoid size 1 day before operation.Results: The respondent composed of 5% male children and 46% females with average age of 6 years. Adenoid facies were the most frequent presentation followed by snoring then nasal obstruction. Around 64% had positive otoscopic findings and another 58% had hearing impairment and only 22% had ear discharge. All of the clinical findings showed (100%) sensitivity and specificity vary from (64%) to (90%). The accuracy rate for clinical features ranged from 92% to 98%. X-ray findings show a low accuracy rate (92%) in comparison to others.Conclusions: Clinical findings could be used to select children for adenoidectomy, especially when endoscopic examination is not available or cannot be performed.

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Clinical features and predictors of multiple bronchoscopy therapy of plastic bronchitis in children

10.22541/au.162123947.78120277/v1 ◽

2021 ◽

Author(s):

Tongqiang Zhang ◽

Lihua Zhao ◽

Jiafeng Zheng ◽

Linsheng Zhao ◽

Xiaojian Cui ◽

...

Keyword(s):

Clinical Features ◽

Clinical Manifestations ◽

Multivariate Logistic Regression Analysis ◽

Fiberoptic Bronchoscopy ◽

Plastic Bronchitis ◽

Radiological Findings ◽

Pleural Thickening ◽

Mycoplasma Pneumonia ◽

Flexible Fiberoptic Bronchoscopy ◽

The Mean

Background. To analyze the clinical features of children with plastic bronchitis (PB) and identify the risk factors of multiple flexible fiberoptic bronchoscopy (FOB) therapy. Methods. Retrospective analysis was performed on 269 PB children from 2016 to 2019, 144 cases were in single FOB group, 125 cases were in the multiple FOB group. The clinical manifestations, laboratory datas, imaging findings and management were investigated. The different features were compared between the single FOB group and multiple FOB group. Results. A total of 269 PB children were collected with a mean age of 6.7 ± 2.8 years. 257 (95.5%) cases were diagnosed as Mycoplasma pneumonia (MP) infection. The mean duration of fever was 10.6 ± 3.7 days. All the patients presented with fever, and 62 (23.0%) suffered from hypoxemia, 144 (53.5%) had extrapulmonary complications. Higher levels of ESR, CRP, PCT, IL-6, LA, LDH, FER and D-dimer were observed. The proportion of pulmonary consolidation, segmental or lobar atelectasis, pleural effusion and pleural thickening were 97.4%, 46.5%, 47.9% and 63.2%, respectively. Furthermore, multivariate logistic regression analysis showed that N% >75.5%, LDH >598.5U/L, and D-dimmer>0.45mg/L were independent isk factors for multiple FOB therapy. Conclusions. MP is a significant pathogen of PB in children. Patients with PB are more likely to suffer from persistent fever, excessive inflammation and severe radiological findings. N% >75.5%, LDH >598.5U/L and D-dimmer > 0.45mg/L may be predictors of multiple FOB treatment.

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“A STUDY OF CORRELATION BETWEEN CLINICAL FEATURES, RADIOLOGICAL FINDINGS AND SPIROMETRY PARAMETERS IN PATIENTS OF BRONCHIECTASIS”

10.36106/ijsr/3003315 ◽

2021 ◽

pp. 17-19

Author(s):

Naiya J Bhavsar ◽

Krishna M Patel ◽

Bhavik N Patel

Keyword(s):

Clinical Features ◽

Surgical Intervention ◽

Genetic Disorders ◽

Radiological Findings ◽

Health Care Centre ◽

Quality Life ◽

History Of ◽

Radiological Pattern ◽

Cardinal Symptoms ◽

Expiratory Air

INTRODUCTION: Bronchiectasis is dened as an irreversible dilation and destruction of one or more bronchi with a reduction in clearance of secretions and in the expiratory airow. Etiologies include prior lung infection, systemic inammatory disorders, and genetic disorders of host defense. METHODOLOGY: This is an Observational study of 160 patients patient who were diagnosed with Bronchiectasis in tertiary health care centre over a period of 15 months. Data was collected and analyzed for correlation between clinical features, radiological ndings and spirometry parameters. RESULT: Mean age of presentation was 21-30 years. Most important etiology was post-infections, pulmonary tuberculosis followed by pneumonia. The cardinal symptoms of bronchiectasis were productive cough followed by dyspnoea on exertion. The most common bacteria isolated from sputum culture was Haemophilus Inuenzae. The commonest radiological pattern of bronchiectasis was cylindrical followed by cystic and varicose. Most of the patients had obstructive pattern in spirometry tests. CONCLUSION: Radiological ndings and spirometry test are more valuable for early and accurate diagnosis of bronchiectasis which help in early and prompt management. Cases of bronchiectasis have repeated history of admissions in the hospital thus all options of treatment including surgical intervention must be taken into consideration for good quality life and healthy.

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