Abstract
Objectives:We aimed to assess lung injury by lung ultrasound (LUS) in children with sickle cell disease presenting an acute chest syndrome.
Methods:This was a retrospective study of paediatric patients admitted from May 2017 to February 2019 for severe vaso-occlusive crisis complicated by an Acute Chest syndrome during hospitalization. The Acute Chest syndrome was defined by a pulmonary infiltrate on chest X-Ray and one or more of the following clinic signs: Fever, chest pain, hypoxemia or respiratory symptoms including tachypnea, wheezing, cough, or increased work of breathing. LUS was performed by paediatric physicians.
Results:A total of 60 patients with acute chest syndrome had a LUS. We observed in all patients, bilateral large consolidations developing from the lung’s lower and posterior area and associated with bronchograms. An increase of B-lines was observed around the consolidation. Surprisingly, a pleural effusion was associated in 50 children.
Conclusion:LUS is a useful tool to assess lung injury in children with acute chest syndrome. LUS may be advantageous for diagnosis and management of these patients while reducing their ionizing radiation exposure.
Footnotes
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4823.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available atwww.ers-education.org.(ERS member access only).
- Copyright ©the authors 2019