Post-infectious bronchiolitis obliterans in children: pathogenesis, treatment strategies, and future directions.

IF 2.8 3区 医学 Q2 PEDIATRICS
Current opinion in pediatrics Pub Date : 2026-08-01 Epub Date: 2026-06-03 DOI:10.1097/MOP.0000000000001585
Elad Ben-Meir, Alejandro Teper, Lisa Strug, Felix Ratjen, Eitan Kerem
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引用次数: 0

Abstract

Purpose of review: To provide a comprehensive and updated overview of post-infectious bronchiolitis obliterans (PIBO) in children, focusing on pathogenesis, diagnostic approaches, and current management strategies, while highlighting emerging mechanistic insights and future therapeutic directions.

Recent findings: Recent studies emphasize neutrophilic inflammation, inflammasome activation (e.g., interleukin-18, caspase-1), and genetic susceptibility as key contributors to disease development and progression.

Summary: PIBO is a heterogeneous and often underrecognized chronic lung disease requiring a structured diagnostic approach based on clinical, functional, and radiologic criteria. Management remains largely empirical and supportive, with limited evidence for disease-modifying therapies. Improved understanding of disease mechanisms may enable the development of targeted, phenotype-directed interventions in the future.

儿童感染后闭塞性细支气管炎:发病机制、治疗策略和未来方向。
综述的目的:提供儿童感染后闭塞性细支气管炎(PIBO)的全面和最新综述,重点是发病机制,诊断方法和当前的管理策略,同时强调新兴的机制见解和未来的治疗方向。最近的发现:最近的研究强调中性粒细胞炎症、炎性体活化(如白介素-18、caspase-1)和遗传易感性是疾病发生和进展的关键因素。PIBO是一种异质性且常被忽视的慢性肺部疾病,需要基于临床、功能和放射学标准的结构化诊断方法。管理仍然主要是经验性和支持性的,疾病改善疗法的证据有限。提高对疾病机制的理解可能会使未来发展有针对性的、表型导向的干预措施成为可能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
0.00%
发文量
184
审稿时长
6-12 weeks
期刊介绍: ​​​​​Current Opinion in Pediatrics is a reader-friendly resource which allows the reader to keep up-to-date with the most important advances in the pediatric field. Each issue of Current Opinion in Pediatrics contains three main sections delivering a diverse and comprehensive cover of all key issues related to pediatrics; including genetics, therapeutics and toxicology, adolescent medicine, neonatology and perinatology, and orthopedics. Unique to Current Opinion in Pediatrics is the office pediatrics section which appears in every issue and covers popular topics such as fever, immunization and ADHD. Current Opinion in Pediatrics is an indispensable journal for the busy clinician, researcher or student.
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