scholarly journals Reply to risk factors for pulmonary interstitial emphysema in the preterm infant: Still more challenges than answers

2020 ◽  
Author(s):  
Judith Behnke ◽  
Anita Windhorst ◽  
Frank Oehmke ◽  
Lars Daniel Berthold ◽  
Klaus‐Peter Zimmer ◽  
...  
1990 ◽  
Vol 149 (7) ◽  
pp. 493-495 ◽  
Author(s):  
C. Morisot ◽  
N. Kacet ◽  
M. C. Bouchez ◽  
V. Rouland ◽  
J. P. Dubos ◽  
...  

2021 ◽  
Vol 10 (7) ◽  
pp. 205846012110342
Author(s):  
Akihiro Nakamata ◽  
Nanae Tsuchiya ◽  
Tetsuhiro Miyara ◽  
Murasaki Shiotani ◽  
Shinji Gibo ◽  
...  

Background Subpleural pulmonary interstitial emphysema is defined as the air in the subpleural portion of the lung, and the clinical relevance is not well understood. Purpose to evaluate the frequency, temporal course, risk factors, and clinical significance of subpleural pulmonary interstitial emphysema (PIE) in patients with pneumomediastinum resulting from ruptured alveoli and other causes. Material and Methods This was a retrospective study of 130 patients with pneumomediastinum on CT between January 2009 and December 2019 at 2 hospitals. Patients were divided into 3 groups as follows: spontaneous pneumomediastinum ( n = 101), pneumomediastinum due to blunt trauma ( n = 16), and pneumomediastinum due to another known cause ( n = 13). The frequencies of radiographic features (subpleural PIE, peribronchovascular PIE, pneumothorax, pulmonary fibrosis, and emphysematous changes) between the 3 groups were compared by the χ2 or Kruskal–Wallis test. Odds ratios were calculated to evaluate candidate risk factors for subpleural and peribronchovascular PIE. Results Subpleural PIE was observed in 0%, 15.8%, and 31.3% of patients with pneumomediastinum due to another cause, spontaneous mediastinum, and blunt trauma, respectively. In most patients, subpleural PIE resolved spontaneously (85.7% within 8 days). Two patients with pulmonary fibrosis showed recurrent subpleural PIE on follow-up. Young age showed increased risk for subpleural PIE (odds ratio [OR] 0.9, 95% confidence interval [CI] 0–0.99). Conclusion Subpleural PIE was only detected in patients with pneumomediastinum due to ruptured alveoli and resolved spontaneously and rapidly. Subpleural PIE may be one route the air from ruptured alveoli to the mediastinum.


2018 ◽  
Vol 51 (2) ◽  
pp. 137-138 ◽  
Author(s):  
Mariana Chiaradia Dominguez ◽  
Camila da Silva Pires ◽  
Mônica Carvalho Sanchez Stopiglia ◽  
Maria Aparecida Marques dos Santos Mezzacappa ◽  
Beatriz Regina Alvares

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