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Chest and Cardiac Findings on High-Resolution Computed Tomography in Children on Regular Hemodialysis with Abnormal Spirometry [Eurasian J Pulmonol]
Eurasian J Pulmonol. 2017; 19(3): 146-151 | DOI: 10.5152/ejp.2017.43434  

Chest and Cardiac Findings on High-Resolution Computed Tomography in Children on Regular Hemodialysis with Abnormal Spirometry

Eman Sobh1, Rehab M. Hamdy2, Manal Abdelsalam3, Fadila M. Elsayed4
1Department of Chest Diseases, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
2Department of Cardiology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
3Department of Pediatric, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
4Department of Radiodiagnosis, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

Objective: To study the high-resolution computed tomography (HRCT) findings of children on hemodialysis with abnormal spirometry.

Methods: This descriptive study included 25 children with chronic kidney disease on regular hemodialysis. They were selected from a pediatric hemodialysis unit during the period from June 2015 to January 2016. Spirometry was done, and those with abnormal values were assessed by HRCT of the chest and echocardiography.

Results: Among 25 children with abnormal spirometry on regular hemodialysis, there was a decrease in spirometric indices in patients on hemodialysis with a tendency to the restrictive pattern (19 patients; 76%). The following HRCT findings were detected: bilateral mild lower-lobe air trapping (centrilobular emphysema) in 14 patients (56%), diffuse bilateral ground-glass appearance in 2 patients (8%), mild hilar and perihilar bronchiectasis in 5 patients (20%), and cardiomegaly in 3 patients (12%).

Conclusion: Our results suggest that HRCT revealed many pathological findings that could not be detected on the chest X-ray, and some of these findings may explain the abnormal indications observed on spirometry.

Keywords: Hemodialysis, HRCT, kidney, pediatric pulmonology, spirometry


Eman Sobh, Rehab M. Hamdy, Manal Abdelsalam, Fadila M. Elsayed. Chest and Cardiac Findings on High-Resolution Computed Tomography in Children on Regular Hemodialysis with Abnormal Spirometry. Eurasian J Pulmonol. 2017; 19(3): 146-151

Corresponding Author: Eman Sobh, Egypt


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