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Background: Latent pulmonary involvement is described in Crohn Disease(CD). Bronchial hyperreactivity measured by the Methacholine Challenge Test (MCT) has been evaluated in two studies involving mainly adults.Our aim was to determine the frequency of bronchial hyperreactivity in pediatric patients followed and treated for Crohn disease.
Methods: Twenty-three children with Crohn disease completed a questionnaire, followed by spirometry, Methacholine Challenge Test (MCT) and determination of Fractional Exhaled NO (FENO). The control group included patients evaluated for functional cough who had negative Methacholine Challenge Test (MCT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Crohn's Patients | Random Crohn's Disease Patients that can perform Methacholine Challenge Test (MCT) |
| |
| Negative MCT | Patients evaluated for functional cough who had negative Methacholine Challenge Test (MCT) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methacholine Challenge Test | Other | Methacholine challenge test to evaluate airway hyperreactivity |
|
| Measure | Description | Time Frame |
|---|---|---|
| Methacholine challenge test | As assessed by methacholine challenge test with determination of PC20. | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Fractional Exhaled NO | Exhaled NO test | Day 1 |
| Eosinophils count | blood test | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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Twenty-three children with Crohn disease in the age of 11 to 22 yr
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam Medical Center | Haifa | 32000 | Israel |
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| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D006403 | Hematologic Tests |
| ID | Term |
|---|---|
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D008919 | Investigative Techniques |
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| Fractional Exhaled NO (FENO) | Other | Fractional Exhaled NO to evaluate eosinophilic inflammation |
|
| Blood Test | Other | Blood Tests (Eosinophil Count) |
|
| PCDAI | Other | Clinical Evaluation for Pediatric Crohn's Disease Activity Index (PCDAI) |
|
| Pediatric Crohn's Disease Activity Index (PCDAI) | Clinical Evaluation | Day 1 |
| D007410 | Intestinal Diseases |