Plastic bronchitis during childhood: Diversity of presentation, etiology, treatment, and outcomes

Author:

Nayır Büyükşahin Halime1ORCID,Emiralioglu Nagehan1ORCID,Sekerel Bulent E.2,Soyer Tutku3ORCID,Oguz Berna4,Güzelkaş Ismail1,Sunman Birce1,Alboğa Didem1,Akgül Erdal Meltem1,Yalcın Ebru1,Doğru Deniz1ORCID,Ozcelik Ugur1,Kiper Nural1

Affiliation:

1. Division of Pulmonology, Department of Pediatrics Hacettepe University Faculty of Medicine Ankara Turkey

2. Division of Allergy and Asthma, Department of Pediatrics Hacettepe University Faculty of Medicine Ankara Turkey

3. Department of Pediatric Surgery Hacettepe University Faculty of Medicine Ankara Turkey

4. Division of Pediatric Radiology, Department of Radiology Hacettepe University Faculty of Medicine Ankara Turkey

Abstract

AbstractObjectivePlastic bronchitis (PB) is a rare disease in children, and reliable data are scarce. Here, we aimed to analyze the clinical features, management, and outcomes in children with PB.MethodsThe medical data of patients who were followed up with a diagnosis of PB between January 2010 and March 2022 were retrospectively analyzed.ResultsThe median age of 15 patients was 9 (interquartile range: 4–10) years with a male/female ratio of 12/3. Initial symptoms included recurrent pneumonia (33.3%), persistent atelectasis (33.3%), cast expectoration (26.6%), and intense, persistent cough (6.6%). The most common underlying diagnosis was asthma (n = 12, 80%), and six of the patients were newly diagnosed. The most common radiological findings were atelectasis as a consequence of major airway obstruction on chest X‐ray or computed tomography. Five patients, all diagnosed as having asthma, had recurrent PB and required multiple airway procedures for treatment and diagnosis. During a median 7‐year follow‐up of five patients, occasionally cast expectoration was observed in one patient with asthma who had poor compliance with inhaled corticosteroids.ConclusionPB is a common reflection of the different underlying etiologies in the pediatric age group, and treatment and outcomes are closely related to these. It should be kept in mind that asthma can be a predisposing factor for the development of PB.

Publisher

Wiley

Subject

Pulmonary and Respiratory Medicine,Pediatrics, Perinatology and Child Health

Reference28 articles.

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