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ABSTRACT: Takayasu's arteritis (TA) is an unusual cause of bilateral and isolated pulmonary artery occlusion that may be difficult to distinguish from other aetiologies.
Report a new case of isolated bilateral pulmonary occlusion.
A 19 year-old girl presented to the hospital with a 2-year history of dyspnoea and recurrent hemoptysis. She was in respiratory distress on physical examination Clinical investigations revealed a total occlusion of the right pulmonary artery on perfusion lung scan. Pulmonary angiogrphy confirmed these data and revealed further more a partially occluded left lower lobe artery. Diagnosis of Takayasu's arteritis was suspected and a complete aortogram was made but proved to be normal. Corticosteroid therapy was prescribed but interrupted within 2 months for absence of clinical improvement. Patient's assessment revealed worsening of the clinical condition and she became oxygen-dependant.
early diagnosis of isolated involvement of pulmonary arteries in TA while systemic arteries are normal may prove to be difficult. In spite of insufficient data to confirm TA, the latter seems to be the most probable diagnosis in our patient regarding clinical (young age) and angiographic arguments.
La Tunisie médicale 10/2007; 85(9):811-3.
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ABSTRACT: The non-specific interstitial pneumonia (NIP) is an idiopathic diffuse interstitial pneumonia. It is recently reported by Katzenstein and Fiorelli in 1994. The clinical features are mild comparing with usual interstitial pneumonia and its histological features include a predominant degree of interstitial inflammation and a rare areas of honey combing, the lesions are temporally uniform. We reported a case of 32 year-old woman with non-specific interstitial pneumonia. The diagnosis was based on histological criteria. The authors discuses the diagnosis and the prognosis of this recent entity.
La Tunisie médicale 05/2004; 82(4):377-80.
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ABSTRACT: Corticosteriods have a puissant anti-inflammatory action and enjoyment a central role in the treatment for childhood asthma. Systemic steroids are used in resistant bronchodilatator exacerbations of asthma. Usually steroids are given for short courses, rarely for long term in severe asthma with high risk of side-effects. Inhaled corticosteroids have'nt changed the treatment for childhood asthma and are recommanded in persistent asthma. Inhaled steroids are well tolerant even at high doses, but it must always research the minimal effective dose. The aim of steroid's treatment is controlling asthma with minimal side-effects to give a normal life to the asthmatic children.
La Tunisie médicale 02/2002; 80(1):1-6.
