2002
DOI: 10.1046/j.1440-1754.2002.00014.x
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Incidence of alveolar capillary dysplasia in severe idiopathic persistent pulmonary hypertension of the newborn

Abstract: Alveolar capillary dysplasia is probably not as rare a condition as previously suggested in sporadic case reports from literature on the subject. It should be entertained as a cause of otherwise severe idiopathic PPHN of the newborn, particularly if ECMO is required. Diagnosis during life is possible by lung biopsy. It is uncertain if survival occurs with milder forms of the condition.

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Cited by 45 publications
(34 citation statements)
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“…Increased incidence of persistent pulmonary hypertension of the newborn with DS suggests that histopathological changes may be present in Ts65Dn lungs [89,90]. Histopathological analysis of lung samples from both euploid and Ts65Dn mouse littermates were evaluated in a blind manner.…”
Section: Resultsmentioning
confidence: 99%
“…Increased incidence of persistent pulmonary hypertension of the newborn with DS suggests that histopathological changes may be present in Ts65Dn lungs [89,90]. Histopathological analysis of lung samples from both euploid and Ts65Dn mouse littermates were evaluated in a blind manner.…”
Section: Resultsmentioning
confidence: 99%
“…Furthermore, it seems likely that some cases originally classified as idiopathic persistent pulmonary hypertension of the newborn (PPHN) may actually have been ACD/MPV (14,20). A slight male predominance (60%) has appeared in reported cases (21,22).…”
Section: Epidemiologymentioning
confidence: 99%
“…Lung recruitment strategies may induce respiratory alkalosis and a transient improvement in oxygenation, but may also contribute to rapid deterioration due to lung overdistension and associated compromise of right atrial filling. Recent case series have reported high rates of unilateral or bilateral pneumothorax, which could be another consequence of excessive airway pressures (20,54).…”
Section: Treatmentmentioning
confidence: 99%
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“…However, the availability of lung biopsy is not widespread. Other conditions like congenital pulmonary lymphangiectasis and alveolar capillary dysplasia may also produce the same conundrum (22,23). Though rare, these entities present in the neonatal period and make the day-to-day diagnosis and management of ARDS challenging.…”
mentioning
confidence: 99%