Preview

Pediatric pharmacology

Advanced search

Primary Ciliary Dyskinesia in Children

https://doi.org/10.15690/pf.v15i1.1840

Abstract

The article presents current approaches to medical care delivery in children with primary ciliary dyskinesia. The genetic heterogeneity of the disease causes the variability of pathological symptoms in clinical practice. The most common clinical manifestation in children is the frequent inflammatory diseases of the upper and lower respiratory tract which are registered in the majority of patients, especially in young children. However, the diagnosis is often untimely due to the low disease awareness among medical specialists. The article describes the algorithm for differential diagnostic search in detail, presents approaches to the treatment and management of pediatric patients with primary ciliary dyskinesia. The material is based on clinical recommendations developed and approved by the professional association «Union of Pediatricians of Russia»; recommendations were updated in 2018.

About the Authors

Alexander A. Baranov
National Medical Research Center of Children’s Health
Russian Federation

Moscow



Leyla S. Namazova-Baranova
National Medical Research Center of Children’s Health; Pirogov Russian National Research Medical University
Russian Federation

Moscow



Elena A. Vishneva
National Medical Research Center of Children’s Health
Russian Federation

Moscow



Liliya R. Selimzyanova
National Medical Research Center of Children’s Health; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Moscow



Maiya D. Bakradze
National Medical Research Center of Children’s Health
Russian Federation
Moscow


Elena N. Tsygina
National Medical Research Center of Children’s Health
Russian Federation
Moscow


Anna V. Lazareva
National Medical Research Center of Children’s Health
Russian Federation
Moscow


Lyudmila K. Katosova
National Medical Research Center of Children’s Health
Russian Federation
Moscow


Yuliya V. Gorinova
National Medical Research Center of Children’s Health
Russian Federation
Moscow


Оlga V. Kustova
National Medical Research Center of Children’s Health
Russian Federation
Moscow


References

1. Eber E, Midulla F, editors. Paediatric respiratory medicine. ERS Handbook. 1st ed. European Respiratory Society; 2013. 719 p.

2. Lucas JS, Walker WT, Kuehni CE, Lazor R. Primary ciliary dyskinesia. Chapter 12. In: Cordier J-F, editor. Orphan lung diseases. European Respiratory Society Monographs. Vol. 54. 2011. pp. 201–217.

3. Shapiro AJ, Zariwala MA, Ferkol T, et al. Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review. Pediatr Pulmonol. 2016;51(2):115–132. doi: 10.1002/ppul.23304.

4. Mirra V, Werner C, Santamaria F. Primary ciliary dyskinesia: an update on clinical aspects, genetics, diagnosis, and future treatment strategies. Front Pediatr. 2017;5:135. doi: 10.3389/fped.2017.00135.

5. Баранов А.А., Намазова-Баранова Л.С., Вишнёва Е.А., Селимзянова Л.Р., Симонова О.И., Середа Е.В., Розинова Н.Н., Цыгина Е.Н., Катосова Л.К., Лазарева А.В., Горинова Ю.В., Кустова О.В. Современные подходы к диагностике и ведению детей с первичной цилиарной дискинезией. Педиатрическая фармакология. 2017;14(1):43–48. DOI:10.15690/pf.v14i1.1700 [Baranov A.A., Namazova-Baranova L.S., Vishneva E.A., Selimzyanova L.R., Simonova O.I., Sereda E.V., Rozinova N.N., Tzygina E.N., Katosova L.K., Lazareva A.V., Gorinova Y.V., Kustova O.V. Modern Approaches to the Diagnosis and Management of Children With Primary Ciliary Dyskinesia. Pediatric pharmacology. 2017;14(1):43–48. DOI:10.15690/pf.v14i1.1700 (In Russ).]

6. Атлас редких болезней / Под ред. А.А. Баранова, Л.С. Намазовой-Барановой. 2-е изд., испр. и доп. — М.: ПедиатрЪ; 2016. — 420 с. [Atlas redkikh boleznei. Ed by A.A. Baranov, L.S. Namazova-Baranova. 2nd ed. Moscow: Pediatr””; 2016. 420 p. (In Russ).]

7. Behan L, Dimitrov BD, Kuehni CE, et al. PICADAR: a diagnostic predictive tool for primary ciliary dyskinesia. Eur Respir J. 2016;47(4):1103–1112. doi: 10.1183/13993003.01551-2015.

8. Shapiro AJ, Josephson M, Rosenfeld M, et al. Accuracy of nasal nitric oxide measurement as a diagnostic test for primary ciliary dyskinesia. A systematic review and meta-analysis. Ann Am Thorac Soc. 2017;14(7):1184–1196. doi: 10.1513/AnnalsATS.201701-062SR.

9. Namazova-Baranova LS, Vishneva EA, Selimzianova LR, et al. P340 Exhaled nitric oxide level evaluation as an additory screening method for differential diagnosis asthma and other lung diseases in children. Arch Dis Childhood. 2017;102(Suppl 2):A164–165.

10. Lucas JS, Barbato A, Collins SA, et al. European Respiratory Society guidelines for the diagnosis of primary ciliary dyskinesia. Eur Respir J. 2017;49(1):1601090. doi: 10.1183/13993003.01090-2016.

11. Marshall CR, Scherer SW, Zariwala MA, et al. Whole-exome sequencing and targeted copy number analysis in primary ciliary dyskinesia. G3 (Bethesda). 2015;5(8):1775–1781. doi: 10.1534/g3.115.019851.

12. Davis SD, Ferkol TW, Rosenfeld M, et al. Clinical features of childhood primary ciliary dyskinesia by genotype and ultrastructural phenotype. Am J Respir Crit Care Med. 2015;191(3):316–324. doi: 10.1164/rccm.201409-1672OC.

13. Strippoli MP, Frischer T, Barbato A, et al. Management of primary ciliary dyskinesia in European children: recommendations and clinical practice. Eur Respir J. 2012;39(6):1482–1491. doi: 10.1183/09031936.00073911.

14. Selimzyanova L, Sereda E. Age at diagnosis in children with primary ciliary dyskinesia (PCD) in Russian Federation (RF). Eur Respir J. 2011;38(Suppl 55):1183.

15. Werner C, Onnebrink JG, Omran H. Diagnosis and management of primary ciliary dyskinesia. Cilia. 2015;4(1):2. doi: 10.1186/s13630-014-0011-8.

16. Alanin MC, Nielsen KG, von Buchwald C, et al. A longitudinal study of lung bacterial pathogens in patients with primary ciliary dyskinesia. Clin Microbiol Infect. 2015;21(12):e1091–1097. doi: 10.1016/j.cmi.2015.08.020.

17. Kellett F, Robert NM. Nebulised 7% hypertonic saline improves lung function and quality of life in bronchiectasis. Respir Med. 2011;105(12):1831–1835. doi: 10.1016/j.rmed.2011.07.019.

18. Nicolson CH, Stirling RG, Borg BM, et al. The long term effect of inhaled hypertonic saline 6% in non-cystic fibrosis bronchiectasis. Respir Med. 2012;106(5):661–667. doi: 10.1016/j.rmed.2011.12.021.

19. Paff T, Daniels JM, Weersink EJ, et al. A randomised controlled trial on the effect of inhaled hypertonic saline on quality of life in primary ciliary dyskinesia. Eur Respir J. 2017;49(2):1601770. doi: 10.1183/13993003.01770-2016.


Review

For citations:


Baranov A.A., Namazova-Baranova L.S., Vishneva E.A., Selimzyanova L.R., Bakradze M.D., Tsygina E.N., Lazareva A.V., Katosova L.K., Gorinova Yu.V., Kustova О.V. Primary Ciliary Dyskinesia in Children. Pediatric pharmacology. 2018;15(1):20-31. (In Russ.) https://doi.org/10.15690/pf.v15i1.1840

Views: 2040


ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)