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The importance of intra-amniotic inflammation in the subsequent development of atypical chronic lung disease

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dc.contributor.authorLee, Joonho-
dc.contributor.authorOh, Kyung Joon-
dc.contributor.authorYang, Hye Jin-
dc.contributor.authorPark, Joong Shin-
dc.contributor.authorYoon, Bo Hyun-
dc.contributor.authorRomero, Roberto-
dc.date.accessioned2012-06-04T02:30:58Z-
dc.date.available2012-06-04T02:30:58Z-
dc.date.issued2009-
dc.identifier.citationJOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE; Vol.22 10; 917-923ko_KR
dc.identifier.issn1476-7058-
dc.identifier.urihttps://hdl.handle.net/10371/76760-
dc.description.abstractObjective. To examine whether the intra-amniotic inflammation is a risk factor for the development of atypical chronic lung disease (CLD). Study design. A retrospective cohort study was undertaken in 72 patients who delivered preterm neonates (gestational age: 24-32 weeks) within 5 days of amniocentesis and whose neonates subsequently developed CLD. Atypical CLD was defined as CLD without respiratory distress syndrome (RDS). Intra-amniotic inflammation was defined as an elevated amniotic fluid (AF) concentration of matrix metalloproteinase-8 (MMP-8) (>23 ng/ml). Results. (1) Atypical CLD was identified in 54.2% (39/72) of cases with CLD; (2) there were no significant differences in the median gestational age at birth and the rate of antenatal corticosteroid use between infants with atypical CLD and CLD with RDS; (3) preterm newborns with atypical CLD had a significantly higher median AF MMP-8 concentration (median 373.1 ng/ml vs. 8.6 ng/ml, p=0.003) and median AF white blood cell count (median 450.0/mm(3) vs. 5.5/mm(3), p=0.009), and a higher rate of intra-amniotic inflammation (74.4% vs. 45.5%, p=0.012) than those with CLD with RDS. Conclusion. Intra-amniotic inflammation confers a greater risk for atypical CLD than for typical CLD with initial RDS. This novel observation strengthens the importance of prenatal inflammation as a mechanism of lung injury.ko_KR
dc.language.isoenko_KR
dc.publisherTAYLOR & FRANCIS LTDko_KR
dc.subjectAmniotic fluid matrix metalloproteinase-8ko_KR
dc.subjectatypical chronic lung diseaseko_KR
dc.subjectintra-amniotic inflammationko_KR
dc.titleThe importance of intra-amniotic inflammation in the subsequent development of atypical chronic lung diseaseko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor이준호-
dc.contributor.AlternativeAuthor오경준-
dc.contributor.AlternativeAuthor양혜진-
dc.contributor.AlternativeAuthor박중신-
dc.contributor.AlternativeAuthor윤보현-
dc.identifier.doi10.1080/14767050902994705-
dc.citation.journaltitleJOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE-
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College of Medicine/School of Medicine (의과대학/대학원)Obstetrics & Gynecology (산부인과전공)Journal Papers (저널논문_산부인과학전공)
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