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Children interstitial lung (ChILD) disease is a large group of disorders with damage in alveolus and capillary. Although these disorders resemble ILD of adult in nomination, ChILD represents different pathologic and clinical patterns.
A 2.5 months old girl, with failure to thrive and grunting and dyspnea, complained of staccato coughs without association with feeding, since she was 15 days old and FTT.The patient appeared ill on admission, with central cyanosis, respiratory distress and hypoxemia (SpO2: 80%).she was admitted in PICU, and empirical antibiotic therapy was started, She was intubated.The chest radiography showed haziness in upper zone and parahilar of both lungs and left retro cardiac region. Barium swallow and bronchoscopy were normal. Echocardiography was normal. Chest CT scan showed haziness in posterior zone of bilateral lower lobes, and compensatory hyper aeration of upper lobe of right lung.
The patient was undergone the lung biopsy which included nonspecific interstitial pneumonia fibrotic variant which was most compatible with Interstitial Lung Disease.
 

Keywords: interstitial lung disease, children, respiratory distress

     

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