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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2010-11-24
pubmed:abstractText
Aspiration is a suspected cause of chronic respiratory disease in infants. We assessed the probability of aspiration by immunocytochemical staining of alveolar macrophages for milk proteins (?-lactalbumin and ?-lactoglobulin) and compared these findings with the Oil-Red-O staining score. Broncho-alveolar lavage (BAL), 24-hr esophageal pH-measurement and/or gastro-esophageal scintigraphy were performed in 111 children. Seventy-nine patients were enrolled. Ten exclusively soya milk formula fed children served as a control group. Individual scores, expressed as the mean percentage of positive staining macrophages counted by three blinded authors were made. Relying on the control group, a positive score was defined as a value higher than 1%. A positive score was found in 26% (18/69). Forty-four percent (8/18) of them had positive gastro-esophageal reflux (GER) tests. In 61% (11/18) a concomitant diagnosis of laryngo-/tracheomalacia was made. A positive score was found in 48% (11/23) of patients with laryngo-/tracheomalacia, compared to 15% (7/46) in infants with normal laryngeal and tracheal anatomy. No correlation was found between the immunocytochemical staining score for milk proteins and the Oil-Red-O staining score. We conclude that assuming the 1% criterion, persistent respiratory symptoms were associated with a positive immunostaining score, suggestive for aspiration, in 26% of infants, in 48% in case of concomitant laryngo- and/or tracheomalacia and in 15% of infants with normal laryngeal and tracheal anatomy. No correlation was found between the immunocytochemical staining score for cow milk proteins and the Oil-Red-O staining score.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1099-0496
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 Wiley-Liss, Inc.
pubmed:issnType
Electronic
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1213-9
pubmed:meshHeading
pubmed-meshheading:20717909-Azo Compounds, pubmed-meshheading:20717909-Bronchoalveolar Lavage, pubmed-meshheading:20717909-Bronchoscopy, pubmed-meshheading:20717909-Case-Control Studies, pubmed-meshheading:20717909-Child, Preschool, pubmed-meshheading:20717909-Esophageal pH Monitoring, pubmed-meshheading:20717909-Esophagus, pubmed-meshheading:20717909-Female, pubmed-meshheading:20717909-Gastroesophageal Reflux, pubmed-meshheading:20717909-Humans, pubmed-meshheading:20717909-Infant, pubmed-meshheading:20717909-Infant, Newborn, pubmed-meshheading:20717909-Lactalbumin, pubmed-meshheading:20717909-Lactoglobulins, pubmed-meshheading:20717909-Laryngomalacia, pubmed-meshheading:20717909-Macrophages, pubmed-meshheading:20717909-Male, pubmed-meshheading:20717909-Pulmonary Alveoli, pubmed-meshheading:20717909-Respiratory Aspiration, pubmed-meshheading:20717909-Staining and Labeling, pubmed-meshheading:20717909-Stomach, pubmed-meshheading:20717909-Tracheomalacia
pubmed:year
2010
pubmed:articleTitle
Milk protein and Oil-Red-O staining of alveolar macrophages in chronic respiratory disease of infancy.
pubmed:affiliation
Department of Pediatric Pulmonology, Ghent University Hospital, Ghent, Belgium. frans.debaets@ugent.be
pubmed:publicationType
Journal Article