Publications by authors named "Pautrat J"

Whether dysfunctional breathing (DB) subtype classification is useful remains undetermined. The hyperventilation provocation test (HVPT) is used to diagnose DB. This test begins with a 3-min phase of hyperventilation during which fractional end-tidal CO (FETCO) decreases that could be an assessment of plant gain, which relies on CO stores.

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Article Synopsis
  • Inappropriate hyperventilation during exercise may be a distinct type of dysfunctional breathing (DB) in children with unexplained breathing issues despite normal test results.
  • The study aimed to see if the Nijmegen questionnaire and hyperventilation provocation test (HVPT) could effectively distinguish inappropriate hyperventilation from other DB types in a group of 50 children.
  • Results showed that both the Nijmegen score and the HVPT did not significantly differentiate between the children with and without hyperventilation, raising questions about the effectiveness of these diagnostic tools and the importance of the hyperventilation category itself.
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Purpose: The recent scoring rules of the American Academy of Sleep Medicine (AASM) define hypoventilation in children as a carbon dioxide (CO2) level of >50 mmHg for >25 % of total sleep time (partial pressure of CO2 (PCO2) > 50[>25 %]). As there is no validated level of nocturnal hypoventilation with regard to end-organ damage in children, we evaluated the prevalence of hypoventilation with the AASM definition but also with a lesser degree of elevated CO2 in children with sleep-disordered breathing (SDB).

Methods: Transcutaneous CO2 (PtcCO2) was recorded during overnight polygraphy (PG).

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Sarcoidosis is a chronic granulomatous disease of unknown aetiology. It is extremely rare in children, especially the early onset form, presenting with eye, skin and joint symptoms but no lung involvement. We report an 11-month-old girl with granulomatous disease restricted to the lungs consistent with sarcoidosis.

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