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Ballouhey Q.,Service de Chirurgie Pediatrique | Abbo O.,Service de Chirurgie Pediatrique | Rouquette I.,Service dAnatomie Pathologique et dHistologie cytologie | Rittie J.L.,Service de Pneumologie et Allergologie Pediatrique | And 2 more authors.
Journal of Pediatric Surgery | Year: 2012

Bronchopulmonary foregut malformation (BPFM) is a group of rare congenital anomalies that affect the respiratory and upper gastrointestinal tracts. We report here the first case of prenatal depiction of communicating BPFM, including extrapulmonary sequestration and foregut cyst, both with pancreatic differentiation. Magnetic resonance imaging on the fetus confirmed a polymalformative syndrome with right-lung and gastric cysts and allowed the detection of respiratory and alimentary tracts communication and aberrant feeding vessels. Diagnosis was confirmed after birth by multidetector computed tomography and postnatal pathologic findings. The patient, a boy, underwent surgery for respiratory distress at 4 weeks of life. This singular case confirms the benefits of early surgery for communicating BPFM. © 2012 Elsevier Inc. All rights reserved.

Carsin A.,Marseille University Hospital Center | Pham-Thi N.,Service de Pneumologie et Allergologie Pediatrique
Revue des Maladies Respiratoires | Year: 2011

Asthma concerns more than 10% of 10-year-old children. Despite the similarities between adult and childhood asthma, the pediatric population presents some specific characteristics, notably in relation to exacerbations. Asthma in the newborn infant is a specific entity, the definition of which has recently been officially recognized. In exacerbations, the most important trigger factors are respiratory virus infections, the strain having prognostic importance. The indoor and outdoor environments are risk factors, particularly high levels of atmospheric pollution. Nutrients seem to play a prognostic role through vitamin D or food allergy. Measurement of exhaled nitric oxide and examination of induced sputum may help in diagnosis and adjustment of treatment but these tools are not yet effective as predictive factors in asthma exacerbations. Prevention, early management and continued education of children and their families remain the best methods to improve asthma control. © 2011 SPLF.

Chevallier M.,Service de pneumologie et allergologie pediatrique | Chabbert A.,Service de pneumologie et allergologie pediatrique | Labouret G.,Service de pneumologie et allergologie pediatrique | Juchet A.,Service de pneumologie et allergologie pediatrique
Revue Francaise d'Allergologie | Year: 2013

Although allergy and food-additives intolerance have been intensively studied since years, only few data exist about the ethylvanillin allergy. This case deals with a teenager patient who reacts severely, showing facial and tongue angio-oedema, after skin-application or ingestion of vanilla flavored products. While prick tests and patch tests were negative to vanillin and vanilla, they were positive to one cosmetic responsible of a reaction. An oral challenge test has been done with vanilla and turned out to be negative. Ultimately a second oral challenge with ethylvanillin was performed and result was positive: few minutes after low quantity ingestion the patient presented a severe angio-oedema which needed anti-histaminic and adrenalin treatment. © 2012 Elsevier Masson SAS.

Rufin P.,Service de pneumologie et allergologie pediatrique
Journal de Pediatrie et de Puericulture | Year: 2010

Lung function testing in children can be performed in different circumstances: to confirm a diagnosis (asthma), to monitor the evolution of a chronic pulmonary disease (asthma, bronchodysplasia, interstitial pneumopathy, cystic fibrosis...) or to assess a pulmonary dysfunction in various pathologies (immune deficiency, dermatomyositis, scoliosis, drepanocytosis...). Different tests can be performed according to the indication and the child's age. © 2009 Elsevier Masson SAS. All rights reserved.

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