Abstract:
:Respiratory manifestations of systemic lupus erythematosus (SLE) are frequent. They include respiratory muscle abnormalities, which have been implicated in the pathogenesis of the "shrinking lung syndrome" (SLS). We report the case of a patient with this syndrome, in whom diaphragmatic paralysis due to demyelinating phrenic lesions was diagnosed at the same time as SLE. Follow-up studies showed a favorable clinical and diaphragmatic outcome with corticosteroid therapy, but little change in spirometry. It is concluded that severe diaphragm palsy is possibly due to phrenic nerve lesions in SLE, and that the link between diaphragm dysfunction and the SLS is probably not a straightforward one.
journal_name
Chestjournal_title
Chestauthors
Hardy K,Herry I,Attali V,Cadranel J,Similowski Tdoi
10.1378/chest.119.4.1274subject
Has Abstractpub_date
2001-04-01 00:00:00pages
1274-7issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(15)52091-6journal_volume
119pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:Black smokers have earlier development of lung disease as well as poorer sleep health than whites. RESEARCH QUESTION:In a sample of black smokers, to what extent does sleep health modify the association between smoking level and functional exercise capacity? DESIGN AND METHODS:Cross-sectional data from 209...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.03.070
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:To investigate the feasibility of individualized workload increments, as used in adults, for exercise testing in children; and to investigate whether this individualized protocol makes it possible to satisfy the usual criteria for maximal exercise (clinical exhaustion, predicted maximum heart rate [HRmax], o...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.1.81
更新日期:2001-07-01 00:00:00
abstract::To study the effects of upper mantle radiation therapy on pulmonary function, forced expiratory volume in one second (FEV1), vital capacity (VC), inspiratory capacity (IC), diffusing capacity for CO (DLCO) and diffusion per unit of alveolar volume (DL/VA were determined in 28 patients with Hodgkin's disease, stages 1-...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.6.688
更新日期:1979-06-01 00:00:00
abstract:STUDY OBJECTIVES:To investigate whether oxidative stress occurs following lobectomy and pneumonectomy and to evaluate whether markers of oxidative stress might be of value in the assessment of the diagnosis, course, and prognosis of postoperative complications. DESIGN:A prospective study. SETTING:A specialized thorac...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.4.999
更新日期:2000-04-01 00:00:00
abstract::A novel technique has been developed for the isolation and lavaging of a central airway segment in humans. The procedure uses a double-balloon airway-sampling catheter that is placed into the airways with fiberoptic bronchoscopic guidance. A protocol using this technique was attempted in 32 subjects (18 normal subject...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.1.105
更新日期:1987-07-01 00:00:00
abstract:BACKGROUND:Our study assessed the short-term effect of electrical muscle stimulation (EMS) of the lower extremities on the thenar muscle microcirculation of patients who are critically ill. METHODS:Twenty-nine hospital ICU patients (19 men; mean [+/- SD] age, 58 +/- 19 years; mean acute physiology and chronic health e...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-2888
更新日期:2009-11-01 00:00:00
abstract:STUDY OBJECTIVE:s: Patients with rheumatoid arthritis (RA) have a high prevalence of pulmonary function test (PFT) abnormality, but the long-term significance of this is unknown. We performed a longitudinal study of pulmonary function in asymptomatic, nonsmoking patients with active RA requiring disease-modifying drugs...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.4.1224
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To ascertain the differences in smoking characteristics between a group of smokers with COPD and another group of healthy smokers, both of which were identified in a population-based epidemiologic study. DESIGN AND PARTICIPANTS:This is an epidemiologic, multicenter, population-based study conducted in seven ...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.119.5.1365
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:We hypothesized that breathing helium-hyperoxia (HeO2) would significantly improve 6-min walking test (6MWT) distance in COPD subjects. METHODS:This was a blinded, randomized crossover study. At visit 1, we assessed pulmonary function, exercise capacity, and 6MWT distance. Visits 2 and 3 consisted of four 6...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.06-2514
更新日期:2007-06-01 00:00:00
abstract::End-tidal CO2 monitors are used to estimate arterial CO2 pressure (PaCO2), but appropriate use of this noninvasive method of assessing blood gases is unclear. In patients with lung disease, the end-tidal CO2 pressure (PETCO2) can differ from PaCO2 because of ventilation-perfusion (VA/Q) mismatching, and changes in PET...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.5.832
更新日期:1987-11-01 00:00:00
abstract::Since first described in 1984, nontraumatic pneumothoraces in patients with AIDS has become more common. When compared with spontaneous pneumothorax in the general population, pneumothoraces in patients with AIDS are often complicated by prolonged air leaks as well as higher recurrence rates. Chemical pleurodesis has ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.3.823
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:DVT is common among critically ill patients. A rapid and accurate diagnosis is essential for patient care. We assessed the accuracy and timeliness of intensivist-performed compression ultrasonography studies (IP-CUS) for proximal lower extremity DVT (PLEDVT) by comparing results with the formal vascular stud...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.10-1479
更新日期:2011-03-01 00:00:00
abstract::Massive pulmonary emboli is a rare disease in children, with only 39 reported cases in the last 50 years. Almost 50% of the patients died suddenly without receiving medical treatment. Most of the patients who were managed medically (70% of the treated patients) underwent surgical pulmonary embolectomy with 80% surviva...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.11-2759
更新日期:2013-02-01 00:00:00
abstract::Cidofovir, a nucleoside analog antiviral agent, has been used with moderate success in the treatment of juvenile laryngeal papillomatosis (JLP) by direct intralesional injection. We report the first case where IV cidofovir was used successfully to treat a rare but lethal multicystic lung disease complicating JLP. A 35...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.118.4.1210
更新日期:2000-10-01 00:00:00
abstract::Endobronchial ultrasonography (EBUS) has become an invaluable tool in the diagnosis of patients with a variety of thoracic abnormalities. The majority of EBUS procedures are used to diagnose and stage mediastinal and hilar abnormalities, as well as peripheral pulmonary targets, with a probe-based technology. Nearly 1,...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2016.05.009
更新日期:2016-12-01 00:00:00
abstract:STUDY OBJECTIVES:To determine whether the quantitative evaluation of hemomediastinum using transesophageal echocardiography (TEE) is predictive of the presence of a traumatic disruption of the thoracic aorta (TDA) or its branches in patients who have sustained severe blunt chest trauma. DESIGN:Retrospective study. SE...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.113.6.1475
更新日期:1998-06-01 00:00:00
abstract::The course of 357 balloon inflations performed during 38 angioplasties for single-vessel coronary artery disease was prospectively studied using continuous ECG recording. Ischemic ECG changes appeared during 91 percent of the inflations at a mean of 20 +/- 8 seconds after inflation and resolved in 97 percent of those ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.2.386
更新日期:1991-02-01 00:00:00
abstract:BACKGROUND:A comprehensive evaluation of temporal trends in the treatment of patients who have DVT may assist with identification of modifiable factors that contribute to short-term outcomes. METHODS:We assessed temporal trends in length of hospital stay and use of pharmacological and interventional therapies among 26...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2016.03.046
更新日期:2016-08-01 00:00:00
abstract::Due to concerns about the efficacy and safety of using pulmonary artery catheterization to evaluate hemodynamic status, noninvasive diagnostic testing has gained increased importance. This article focuses on both the supportive evidence and the limitations of applying the vascular pedicle width (VPW), which is the med...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.3.942
更新日期:2002-03-01 00:00:00
abstract::Prior to 1978, the conventional treatment of pneumothorax generally consisted of conservative therapies such as rest, needle puncture, or thoracic cavity drainage; however, when conservative therapies were ineffective or relapse occurred therapeutic approach, 34 percent (11/32) of our patients required a thoracotomy. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.4.953
更新日期:1991-10-01 00:00:00
abstract::Idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP) is a clinicopathologic syndrome characterized by an indolent course and favorable prognosis. This report describes five patients with a fulminating and life-threatening variant of this syndrome. Four patients presented with respiratory failure requir...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.1.271
更新日期:1995-07-01 00:00:00
abstract::The purpose of this study was to determine the number of procedures necessary to become proficient in flexible fiberoptic bronchoscopic examination. I performed 99 bronchoscopic procedures during a formal training program under the direct supervision of instructors with varying experience. There were no statistical di...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.1.65
更新日期:1980-01-01 00:00:00
abstract::Transbronchial fine needle aspiration (TBFNA) was used to confirm the diagnosis of bronchogenic cyst in two asymptomatic patients with mediastinal masses who declined surgical exploration. Both masses were located subcarinally but differed in computed tomographic density (7 and 59 Hounsfield units). Aspirate cytology ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.88.4.573
更新日期:1985-10-01 00:00:00
abstract::Symptoms consistent with hypersensitivity pneumonitis (HP) occurred in 26 of 50 employees working in a localized area of a large factory. This area was served by a single heating-cooling unit utilizing a water humidification system. The illness consisted of flu-like symptoms with fever, chills, headache, cough, dyspne...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.2.183
更新日期:1980-02-01 00:00:00
abstract:STUDY OBJECTIVES:Pulmonary fibrosis due to lipid peroxidation is a major symptom of paraquat intoxication. Ethane in the expired breath (exEth) reflects lipid peroxidation and may be a measure of the damage effected by oxygen radicals in acute lung injury. The purpose of this study was to evaluate the clinical efficacy...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1506
更新日期:2005-09-01 00:00:00
abstract::In order to determine which patients with congestive heart failure (CHF) develop Cheyne-Stokes respiration (CSR) during sleep, we compared the cardiorespiratory profiles of CHF patients with CSR to those of CHF patients without CSR. Overnight polysomnography and continuous transcutaneous PCO2 (tc PCO2) monitoring, est...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.4.1079
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (EBUS-TBNA) is performed with a dedicated 22- or 21-gauge needle while suction is applied. Fine-needle sampling without suction (capillary sampling) has been studied for endoscopic ultrasound and for biopsies at various body sites and ha...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.11-0692
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Contemporary clinical risk stratification schemata for predicting stroke and thromboembolism (TE) in patients with atrial fibrillation (AF) are largely derived from risk factors identified from trial cohorts. Thus, many potential risk factors have not been included. METHODS:We refined the 2006 Birmingham/Na...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-1584
更新日期:2010-02-01 00:00:00
abstract::Six patients with hemoptysis were treated by endobronchial sealing, with n-butyl cyanoacrylate, of the bleeding segment or subsegment. There was an immediate arrest of bleeding without any recurrence for a mean follow-up period of 127 (+/- 67.17) days. Endobronchial sealing appears to be an effective method of managin...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.6.2066
更新日期:2002-06-01 00:00:00
abstract::In 17 patients with adult respiratory distress syndrome, we used data derived from computed tomographic (CT) scan densitometric analysis to validate the value of portable chest roentgenograms in objectively estimating the amount of pulmonary edema. Chest roentgenograms and CT scans were taken in the same ventilatory c...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.3.762
更新日期:1991-09-01 00:00:00