Source:http://linkedlifedata.com/resource/pubmed/id/13130400
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2003-9-17
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pubmed:abstractText |
Itraconazole effectively controls active paracoccidioidomycosis but appears not to hinder lung fibrosis. Clinical records and chest radiographs from 47 itraconazole-treated patients with prolonged posttherapy follow-up (mean follow-up period, 5.6 years) were analyzed; the radiographs were interpreted following pneumoconiosis standards that consider the lungs as 6 fields and grade damage according to the number of fields involved. Infiltrative lesions were observed at diagnosis in 93.6% of the patients. Fibrosis was observed in 31.8% of the patients at diagnosis and had not cleared at the end of the observation period in any of these patients. Fibrosis also developed de novo in 11 patients (25%), so that by the end of the follow-up period it was seen in 53.2% of patients overall. Fibrosis correlated with severity of infiltrates at diagnosis: fibrosis was present in 83% of patients with very severe infiltration and in 12.5% of patients with minor infiltration. Among patients with severe infiltration, fibrosis was present in 30%; this increased (to 75%) when bullae were concomitantly present at diagnosis. Prompt initiation of treatment is necessary to avoid the development of fibrosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1537-6591
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
898-904
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:13130400-Adult,
pubmed-meshheading:13130400-Aged,
pubmed-meshheading:13130400-Antifungal Agents,
pubmed-meshheading:13130400-Humans,
pubmed-meshheading:13130400-Itraconazole,
pubmed-meshheading:13130400-Male,
pubmed-meshheading:13130400-Middle Aged,
pubmed-meshheading:13130400-Paracoccidioidomycosis,
pubmed-meshheading:13130400-Pulmonary Fibrosis
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pubmed:year |
2003
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pubmed:articleTitle |
Residual pulmonary abnormalities in adult patients with chronic paracoccidioidomycosis: prolonged follow-up after itraconazole therapy.
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pubmed:affiliation |
Medical and Experimental Mycology Group, Corporación para Investigaciones Biológicas, Medellín, Colombia.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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