Revue des maladies respiratoires最新文献

[Pulmonary rehabilitation: A 2026 updated expert consensus]. [肺康复：2026年更新的专家共识]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-10-19 DOI: 10.1016/j.rmr.2026.09.007

S Gephine, O Le Rouzic, F Alexandre, D Bajon, M Beaumont, A Bellocq, F Caron, C Chenivesse, B Chehere, Y Darolles, M Decavele, B Degano, J Delemazure, R Gauthier, J Gonzalez-Bermejo, V Gounant, M Guecamburu, A Guerder, L Hajouji, M Hayot, N Heraud, F Herengt, A Lino, A Martin, F Maltais, H Ouksel, J Pernot, G Prieur, G Reychler, S Stelianides, E Villot Danger, M Zysman, F Costes, J M Grosbois

{"title":"[Pulmonary rehabilitation: A 2026 updated expert consensus].","authors":"S Gephine, O Le Rouzic, F Alexandre, D Bajon, M Beaumont, A Bellocq, F Caron, C Chenivesse, B Chehere, Y Darolles, M Decavele, B Degano, J Delemazure, R Gauthier, J Gonzalez-Bermejo, V Gounant, M Guecamburu, A Guerder, L Hajouji, M Hayot, N Heraud, F Herengt, A Lino, A Martin, F Maltais, H Ouksel, J Pernot, G Prieur, G Reychler, S Stelianides, E Villot Danger, M Zysman, F Costes, J M Grosbois","doi":"10.1016/j.rmr.2026.09.007","DOIUrl":"https://doi.org/10.1016/j.rmr.2026.09.007","url":null,"abstract":"Introduction: The effectiveness of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease is supported by a high level of evidence. More recently, the indications for PR have expanded and new models of care have emerged.State of art: This position statement summarizes recent evidence on PR regarding: 1) its objectives; 2) the key outcomes to be assessed at baseline, during, and at the end of the program, along with the recommended assessment tools; 3) its integration within the care pathway; 4) modalities of implementation, including home-based programs, telerehabilitation, and hybrid formats; 5) its core components, based on therapeutic education (including psychosocial and motivational support), exercise training, and adapted physical activity; and 6) the strategies and professionals involved in maintaining long-term benefits.Perspectives: The extension of PR indications to other respiratory conditions (interstitial lung diseases, pulmonary hypertension, thoracic oncology) and the development of new delivery models are expected to facilitate PR access.Conclusion: This position statement from French-speaking experts aims to support greater recognition of PR and to promote its integration into patient care pathways.","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[When pulmonary sequestration is hidden behind arteriovenous pulmonary malformation]. [当肺隔离隐藏在动静脉肺畸形后]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-10-13 DOI: 10.1016/j.rmr.2026.09.004

F Garcin, G O Tsiambanizafy, A Pirvu, G Dubois, S Blaise

{"title":"[When pulmonary sequestration is hidden behind arteriovenous pulmonary malformation].","authors":"F Garcin, G O Tsiambanizafy, A Pirvu, G Dubois, S Blaise","doi":"10.1016/j.rmr.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.rmr.2026.09.004","url":null,"abstract":"A 33-year-old patient was stabbed, causing a perforating thoracic wound complicated by cardiorespiratory arrest due to hemorrhagic shock. Emergency surgery was performed with hemostatic and resuscitative bithoracotomy, revealing an incidental lesion suspected of being a pulmonary arteriovenous malformation (PAVM). This lesion being organized, and following embolization of the abnormal arteries arising from the descending thoracic aorta which were causing a systemic-pulmonary shunt, left lower lobectomy was performed. After anatomopathological study, a diagnosis of intralobar pulmonary sequestration was established. Pulmonary sequestration is not included in the international classification of vascular abnormalities. It is defined as a condition in which parts of pulmonary tissue are irrigated by an abnormal systemic artery. There exist two forms of pulmonary sequestration: intralobar and extralobar. Contrarily to most arteriovenous malformations, surgical excision is generally recommended, even though transcatheter embolization could be considered as an option in specific situations. Differential diagnosis of PAVM is difficult and raises questions on risks of progression, which differ between the two pathologies. While transcatheter embolization is a key component of PAVM treatment, radical surgery is usually required for pulmonary sequestration.","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Management of pulmonary infections due to non-Aspergillus filamentous fungi]. 非曲霉丝状真菌引起肺部感染的处理。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-28 DOI: 10.1016/j.rmr.2026.07.011

L Chantelot, É Sitterle, G Reichert, A Serris

引用次数: 0

[What role do corticosteroids play in the treatment of community-acquired pneumonia?] 糖皮质激素在治疗社区获得性肺炎中起什么作用？］

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-28 DOI: 10.1016/j.rmr.2026.09.006

P-F Dequin

{"title":"[What role do corticosteroids play in the treatment of community-acquired pneumonia?]","authors":"P-F Dequin","doi":"10.1016/j.rmr.2026.09.006","DOIUrl":"https://doi.org/10.1016/j.rmr.2026.09.006","url":null,"abstract":"Some of the immediate, medium-term, and long-term complications of acute community-acquired pneumonia are correlated with the degree of inflammation in the initial phase, particularly when it is dysregulated. Among the treatments designed to control this inflammation, corticosteroid therapy has been the most extensively studied. Randomized trials conducted in hospitalized patients have generally shown faster improvement with corticosteroids and prevention of subsequent worsening. In patients admitted to intensive care units, and despite conflicting trial results, meta-analyses conclude - with a low level of evidence - that there is a reduction in one-month mortality without an increase in the incidence of hospital-acquired infections. The incidence of hyperglycemia is increased with corticosteroid therapy and is likely a barrier to their use outside of intensive care units. In influenza, data from observational studies suggest excess mortality and lead to the contraindication of corticosteroids outside of therapeutic trials. In the future, treatment will likely need to be individualized based on clinical and biologic parameters, particularly the inflammatory syndrome and immunological phenotyping.","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The impact of post-exposure Streptococcus pneumoniae infections on pulmonary immunity: The role of air pollution and IL-20 cytokines in respiratory infections]. [暴露后肺炎链球菌感染对肺部免疫的影响：空气污染和IL-20细胞因子在呼吸道感染中的作用]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-28 DOI: 10.1016/j.rmr.2026.07.009

E Driencourt, B Daunou, L Massara, A Ollivier, G Kervoaze, C Godart, M Djouina, M Body-Malapel, P Gosset, M Pichavant

引用次数: 0

[Nicotinic receptor polymorphism amplifies cigarette smoke-induced inflammation in COPD, a silent epidemic]. [在慢性阻塞性肺病（一种无声的流行病）中，尼古丁受体多态性会放大香烟引起的炎症]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-28 DOI: 10.1016/j.rmr.2026.07.008

L Massara, G Kervoaze, A Ollivier, M Pichavant, L Saber-Cherif, S Pons, U Maskos, V Dormoy, P Gosset

引用次数: 0

[The role of thrombomodulin in pulmonary hypertension associated with bronchopulmonary dysplasia in preterm infants]. [血栓调节蛋白在早产儿支气管肺发育不良相关肺动脉高压中的作用]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-21 DOI: 10.1016/j.rmr.2026.07.007

L Gassiat, I Gauthereau, G Cardouat, P Robillard, C M Pilard, B Pere, E Dumas-De-La-Roque, F Sauvestre, F Pelluard, S Berenguer, L Sentilhes, F Coatleven, M Vincienne, P Berger, C Guibert

引用次数: 0

[Bronchiectasis in children: An underdiagnosed disease with accessible screening and etiological assessment]. 【儿童支气管扩张症：一种可获得筛查和病因评估的未确诊疾病】。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-21 DOI: 10.1016/j.rmr.2026.07.001

I Mansouri, D Benchaji, A Errami, S Zridi, F Ailal, J El Bakkouri, I Benhsaien, F Adnane, S Salam, A A Bousfiha, N Amenzoui

{"title":"[Bronchiectasis in children: An underdiagnosed disease with accessible screening and etiological assessment].","authors":"I Mansouri, D Benchaji, A Errami, S Zridi, F Ailal, J El Bakkouri, I Benhsaien, F Adnane, S Salam, A A Bousfiha, N Amenzoui","doi":"10.1016/j.rmr.2026.07.001","DOIUrl":"https://doi.org/10.1016/j.rmr.2026.07.001","url":null,"abstract":"Long considered as a rare and neglected disease, non-cystic fibrosis bronchiectasis in children is now recognized as an emerging cause of chronic respiratory morbidity worldwide. Its incidence is strikingly variable, ranging from 0.2-2.3 per 100,000 children annually in high-income countries to more than 700 per 100,000 in some groups of children living in highly deprived socio-economic settings. Recent data from the Child-BEAR-Net international registry confirm the predominance of post-infectious forms (∼30%) and immunodeficiencies (∼20%), while also highlighting the role of primary ciliary dyskinesia (∼10-15%) and rarer etiologies such as congenital malformations or allergic bronchopulmonary aspergillosis. In low-resource settings, pediatric bronchiectasis remains underdiagnosed and frequently misinterpreted as asthma or tuberculosis, leading to delayed management and worsened bronchial damage. However, unlike in adults, the pediatric bronchial tree retains capacity for remodeling, and if promptly treated, early lesions may regress. Recognizing chronic productive cough as a cardinal symptom, combined with early screening and a multidisciplinary approach (respiratory physiotherapy, targeted antibiotic therapy, immunoglobulin replacement, and nutritional support), can significantly improve outcomes. Future priorities include dissemination of international guidelines (ERS 2021), establishment of national registries, and development of screening programs tailored to low-resource contexts. Some forms of pediatric bronchiectasis, particularly post-infectious forms, may be preventable, and early lesions in selected children may improve following timely diagnosis and management.","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Role of energy metabolism in pediatric asthma]. [能量代谢在小儿哮喘中的作用]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-21 DOI: 10.1016/j.rmr.2026.09.002

E Celle, T Trian, P Esteves

引用次数: 0

[Paraganglioma diagnosed by EBUS-TBNA: A case report]. [EBUS-TBNA诊断副神经节瘤1例]。

IF 0.5 4区医学

Revue des maladies respiratoires Pub Date : 2026-09-21 DOI: 10.1016/j.rmr.2026.05.008

G Perceval, G Riley, L Schnedecker, J Staentzel, G Treffel

{"title":"[Paraganglioma diagnosed by EBUS-TBNA: A case report].","authors":"G Perceval, G Riley, L Schnedecker, J Staentzel, G Treffel","doi":"10.1016/j.rmr.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.rmr.2026.05.008","url":null,"abstract":"Introduction: Paragangliomas are rare neuroendocrine tumors occasionally found in the mediastinum. A characteristic CT presentation suffices to raise suspicions. Biopsy specimens are usually avoided, and diagnosis is generally based on a combination of biological, clinical and iconographic evidence.Case report: We report on the case of an 84-year old female patient without adrenergic signs, who presented with an isolated mid-mediastinal lesion, which was found on FDG-TEP to be hypermetabolic. Its appearance was suggestive of a neuroendocrine tumor or a clear cell renal tumor, leading to investigation by EBUS-TBNA. The cytology aspirations subsequently performed were complicated by moderate bleeding, which was controlled by local instillations of adrenalized serum. An anatomopathological diagnosis of paraganglioma ensued, and was confirmed by further endocrinologic investigations.Conclusions: Notwithstanding its technical feasibility, assessment of mediastinal paragangliomas by EBUS-TBNA may present an increased risk of moderate to severe bleeding. Appropriate safety measures should be considered, as well as diagnosis by non-invasive methods alone.","PeriodicalId":21548,"journal":{"name":"Revue des maladies respiratoires","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0