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고해상도 흉부 단층 촬영 결과를 통한 감염 후 폐색성 세기관지염의 임상적 접근

Other Titles
 A Clinical Approach of Post-Infectious Bronchiolitis Obliterans Using the Results of High Resolution Computed Tomography. 
Authors
 김종덕  ;  한윤기  ;  김경원  ;  이미정  ;  손명현  ;  김규언 
Citation
 Pediatric Allergy and Respiratory Disease (소아알레르기 호흡기학회지), Vol.22(4) : 397-403, 2012 
Journal Title
 Pediatric Allergy and Respiratory Disease  (소아알레르기 호흡기학회지) 
ISSN
 1225-679x 
Issue Date
2012
Abstract
PURPOSE: Bronchiolitis obliterans (BO) is a type of chronic obstructive lung disease. In children, the most common presentation is a post infectious origin. The aim of this study was to determine the clinical features, etiology, and radiologic findings of post infectious BO, which was diagnosed by high resolution computed tomography (HRCT). The results were then compared to those of the control group. METHODS: We diagnosed 52 children with BO by a review of all performed HRCT findings at Severance Children's Hospital between January 2007 and March 2011. A retrospective study was conducted to define the clinical features, etiology, symptoms, and radiologic findings of post infectious BO. Sixty-five children who were diagnosed with lower respiratory infection confirmed by HRCT were defined as the control group for comparison with post infectious BO patients. RESULTS: The mean age of the patients at the time of diagnosis with BO was 41.3+/-5.9 months, and that of the control group was 57.1+/-5.1 months. The initial insult age of BO patients was 14.6+/-2.8 months, and that of the control group was 50.9+/-5.0 months. The frequency of previous admissions due to lower respiratory infection was relatively higher in BO patients than the control group. CONCLUSION: The results suggest that the development of post infectious BO should be early suspected and HRCT should be performed in children with a recurrent admission history of lower respiratory infection, especially in those younger than 2 years of age. Furthermore, continued management of prevent additional infection should be conducted.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91650
Files in This Item:
T201205231.pdf Download
DOI
10.7581/pard.2012.22.4.397
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김경원(Kim, Kyung Won) ORCID logo https://orcid.org/0000-0003-4529-6135
김규언(Kim, Kyu Earn)
손명현(Sohn, Myung Hyun) ORCID logo https://orcid.org/0000-0002-2478-487X
이미정(Lee, Mi-Jung) ORCID logo https://orcid.org/0000-0003-3244-9171
한윤기(Han, Yoon Ki)
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