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. 2020 Jun;59(6):573-579.
doi: 10.1177/0009922820910821. Epub 2020 Mar 7.

Pulmonary Manifestations in Adolescents With Inflammatory Bowel Disease

Elaine Barfield  1 , Farah Deshmukh  1 , Elisabeth Slighton  1 , Jennifer Lentine  1 , Yao Lu  1 , Xiaoyue Ma  1 , Paul J Christos  1 , Robbyn E Sockolow  1 , Gerald Loughlin  1 , Sophia Pillai  2
Affiliations

Pulmonary Manifestations in Adolescents With Inflammatory Bowel Disease

Elaine Barfield et al. Clin Pediatr (Phila). 2020 Jun.

Abstract

Objectives. The available literature on pulmonary disease in pediatric inflammatory bowel disease is limited. We evaluated the prevalence of pulmonary manifestations in pediatric inflammatory bowel disease and their association with disease severity. Methods. Patients completed the St. George's Respiratory Questionnaire (SGRQ), a self-reported measure of quality of life in patients with pulmonary disease. Chart review provided demographic information and Pediatric Crohn's Disease Activity Index (PCDAI) and Pediatric Ulcerative Colitis Activity Index scores. Regression models were utilized to evaluate associations between SGRQ score and clinical risk factors. Results. The prevalence of pulmonary manifestations was 9.62% (95% confidence interval = 5.48% to -15.36%). PCDAI scores in Crohn's disease patients with pulmonary symptoms were significantly higher (SGRQ mean = 10.71 ± 10.94) than in patients without such symptoms. SGRQ score was also higher in patients with indeterminate colitis (8.64, 95% confidence interval = 0.72-16.57, P = .03), when compared with Crohn's disease. Conclusions. Additional investigations including pulmonary function tests and imaging could provide further insight into this issue.

Keywords: Crohn’s disease; Pediatric Crohn’s Disease Activity Index; Pediatric Ulcerative Colitis Activity Index; St. George’s Respiratory Questionnaire; extraintestinal manifestation; inflammatory bowel disease; ulcerative colitis.

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Figures

Figure 1:
Figure 1:
Symptoms of cough in patients with SGRQ score of ≥25.
Figure 2.
Figure 2.
Symptoms of sputum production in patients with SGRQ score of ≥25.
Figure 3:
Figure 3:
Symptoms of shortness of breath in patients with SGRQ score of ≥25.
Figure 4:
Figure 4:
Symptoms of wheezing in patients with SGRQ score of ≥25.
See this image and copyright information in PMC

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