Respiratory complications of the rheumatological diseases in childhood

Archives of Disease in Childhood
Anne E RichardsonH Vyas

Abstract

Pleuropulmonary manifestations of rheumatological diseases are rare in children but pose a significant risk to overall morbidity and mortality. We have reviewed the literature to provide an overview of the respiratory complications of the commonest rheumatological diseases to occur in children (juvenile systemic lupus erythematosus, scleroderma, juvenile dermatomyositis, mixed connective tissue disease, granulomatosis with polyangitis and juvenile idiopathic arthritis). Pulmonary function testing in these patients can be used to refine the differential diagnosis and establish disease severity, but also has a role in ongoing monitoring for respiratory complications. Early detection of pulmonary involvement allows for prompt and targeted therapies to achieve the best outcome for the child. This is best achieved with joint specialist paediatric rheumatology and respiratory reviews in a multidisciplinary setting.

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Citations

Mar 24, 2017·Current Opinion in Pediatrics·Michal CidonDominik Hartl
May 18, 2019·Pediatric Pulmonology·Marina AttanasiLuciana Breda
Jan 19, 2019·Advances in Rheumatology·Gabriela BlayUNKNOWN Brazilian Childhood-onset Systemic Lupus Erythematosus Group
May 1, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Sebastian F N BodeAndrea Heinzmann

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