Dergiler / Turkish Thoracic Journal / 2019 / Cilt: 20 - Sayı: 4

Is Induced Sputum A Useful Noninvasive Tool in the Diagnosis of Pulmonary Sarcoidosis?

Sayfa
248–252
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Sputum induction was well tolerated.CONCLUSION: Sputum induced by the inhalation of hypertonic saline is a safe, inexpensive, less invasive, and easily repeated methodand can be a valuable alternative to other invasive methods in the diagnosis of pulmonary sarcoidosis.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:OBJECTIVES: In patients with pulmonary sarcoidosis, the provocation of sputum expectoration through the inhalation of hypertonicsaline has been investigated as an alternative diagnostic tool for invasive procedures.
📊
Temel Bulgular & Veri:We aimed to assess the diagnostic value of inducedsputum (IS) by observing its cell distribution in patients with a confirmed histopathological diagnosis of sarcoidosis.MATERIALS AND METHODS: In this prospective, cross-sectional study, we compared the IS results of 20 patients with a histopathologically confirmed pulmonary sarcoidosis diagnosis and 24 healthy volunteers.
💡
Sonuç & Katkı:Sputum induction was well tolerated.CONCLUSION: Sputum induced by the inhalation of hypertonic saline is a safe, inexpensive, less invasive, and easily repeated methodand can be a valuable alternative to other invasive methods in the diagnosis of pulmonary sarcoidosis.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

OBJECTIVES: In patients with pulmonary sarcoidosis, the provocation of sputum expectoration through the inhalation of hypertonicsaline has been investigated as an alternative diagnostic tool for invasive procedures. We aimed to assess the diagnostic value of inducedsputum (IS) by observing its cell distribution in patients with a confirmed histopathological diagnosis of sarcoidosis.MATERIALS AND METHODS: In this prospective, cross-sectional study, we compared the IS results of 20 patients with a histopathologically confirmed pulmonary sarcoidosis diagnosis and 24 healthy volunteers. The percentages of macrophages, lymphocytes, neutrophils,and eosinophils in IS and the CD4/CD8 ratio were compared.RESULTS: The percentage of lymphocytes in IS was significantly higher in the pulmonary sarcoidosis patients compared to the controlgroup (41.6% vs 8.9%, p<0.001). There were no significant differences in the other IS cell percentages and CD4+/CD8+ ratio betweenthe groups. Sputum induction was well tolerated.CONCLUSION: Sputum induced by the inhalation of hypertonic saline is a safe, inexpensive, less invasive, and easily repeated methodand can be a valuable alternative to other invasive methods in the diagnosis of pulmonary sarcoidosis.

🔖

Bu Makaleye Atıf Yap

BAHA, A., YILDIRIM, F., STARK, M., KALKANCI, A., FİREMAN, E., KÖKTÜRK, N. (2019). Is Induced Sputum A Useful Noninvasive Tool in the Diagnosis of Pulmonary Sarcoidosis?. Turkish Thoracic Journal, Cilt: 20 - Sayı: 4, 248–252. https://ajindex.com/articles/418022

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Bickerman HA, Sproul EE, Barach AL. An aerosol method of producing bronchial secretions in human subjects: a clinical technic for the detection of lung cancer. Dis Chest 1958
  2. [CrossRef] 2. Bigby TD, Margolskee D, Curtis JL, et al. The usefulness of induced sputum in the diagnosis of Pneumocystis carini pneumonia in patients with the acquired immunodeficiency syndrom. Am Rev Respir Dis 1986
  3. Pin I, Gibson PG, Kolendowicz R, et al. Use of induced sputum cell counts to investigate airway inflammation in asthma. Thorax 1992
  4. [CrossRef] 4. Fireman E, Topilsky I, Greif J, et al. Induced sputum compared to bronchoalveolar lavage for evaluating patients with sarcoidosis and non-granulomatous interstitial lung disease. Respir Med 1999
  5. [CrossRef] 5. Kokturk N, Sabag M, Stark M, et al. High extracellular induced sputum haem oxygenase-1 in sarcoidosis and chronic beryllium disease. Eur J Clin Invest 2009
  6. [CrossRef] 6. Statement on sarcoidosis. Joint Statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med 1999
  7. Akten HS, Kilic H, Celik B, et al. Diagnostic yield of transbronchial biopsy in comparison to high resolution computerized tomography in sarcoidosis cases. Asian Pac J Cancer Prev 2018
  8. Asano F, Aoe M, Ohsaki Y, et al. Deaths and complications associated with respiratory endoscopy: A survey by the Japan society for respiratory endoscopy in 2010. Respirology 2012
  9. 478 85. [CrossRef] 9. Yıldırım F, Özkaya Ş, Yurdakul AS. Factors affecting patients' comfort during fiberoptic bronchoscopy and endobronchial ultrasound. J Pain Res 2017
  10. [CrossRef] 10. Hunninghake GW, Crystal RG. Pulmonary sarcoidosis: a disorder mediated by excess helper T-lymphocyte activity at the sites of disease activity. N Engl J Med 1981
  11. [CrossRef] 11. Semenzato G, Chilosi M, Ossi E, et al. Bronchoalveolar lavage and lung histology: comparative analysis of inflammatory and immunocompetent cells in patients with sarcoidosis and hypersensitivity pneumonitis. Am Rev Respir Dis 1985
  12. Nagai S, Izumi T. Bronchoalveolar lavage: still useful in diagnosing sarcoidosis? Clin Chest Med 1997
  13. [CrossRef] 13. D'Ippolito R, Foresi A, Chetta A, et al. I