Abstract:
:Gaucher's disease is a not exceptional lysosomial disease in Tunisia. Type 1 is by far the most common one. Pulmonary involvement is considered to be rare in type 1 Gaucher's disease. Pulmonary hypertension, infiltration of the lungs with Gaucher cells, and severe hypoxemia due to intrapulmonary arterial-venous shunts, have been described in case reports and small case series. We reported the case of hepatopulmonary syndrome in a 14-year-old boy with type 1 Gaucher disease. The diagnosis of Gaucher disease was established, at 2 years age, by enzyme assay of leucocyte β-glucosidase. The patient presented dyspnoea, digital clubbing and cyanosis of the lips. The arterial blood gas found severe hypoxaemia with PaO(2) at 56.9 mmHg. The diagnosis of hepatopulmonary syndrome, in our patient, was confirmed by demonstration of the intrapulmonary shunting using contrast-enhanced echocardiography and the technetium-99m-labeled macroaggregated albumin. The patient was treated by symptomatic measure, long term oxygen therapy because the insufficiency of the enzyme replacement therapy. Screening for hypoxemia in children with liver disease should be considered.
journal_name
Rev Pneumol Clinjournal_title
Revue de pneumologie cliniqueauthors
Bouguila J,Rouatbi H,Tej A,Chabchoub I,Trimech B,El Ajmi S,Essoussi AS,Boughammoura Ldoi
10.1016/j.pneumo.2011.07.002subject
Has Abstractpub_date
2012-02-01 00:00:00pages
58-62issue
1eissn
0761-8417issn
1776-2561pii
S0761-8417(11)00093-9journal_volume
68pub_type
杂志文章abstract:UNLABELLED:Exacerbations of chronic obstructive pulmonary disease (COPD) have an inflammatory component in addition to the possible infectious component. The antiinflammatory properties of fenspiride (Pneumorel(R) 80 mg) should be evaluated in this frequent clinical situation. OBJECTIVES:Assess the supplementary thera...
journal_title:Revue de pneumologie clinique
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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journal_title:Revue de pneumologie clinique
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更新日期:1993-01-01 00:00:00
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journal_title:Revue de pneumologie clinique
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pub_type: 临床试验,杂志文章,随机对照试验
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