TABLE 5

Semi-quantitative analysis of histological features of seven cases contrasted to age at biopsy and outcome

CaseAge at biopsyOutcomeAlveolar simplificationWide interstitiumPIG-like cellsInterstitial fibrosis#Back-to-back bronchioliThickened PA muscular wall+PA fibrointimal proliferationIntrapulmonary bronchopulmonary anastomosis and bronchial vessel recruitment
1§4 monthsDeath at 5 monthsDiffuseDiffuseDiffuseNoneFocalModerateAbsentAbsent
7§3 monthsDeath at 8 monthsDiffuseDiffusePatchyPatchyAbsentModerateModerateAbsent
12§2 monthsLung transplant at 11 yearsDiffusePatchyAbsentPatchyMultifocalModerateAbsentPresent
13§1.5 monthsSevere ILD at 4 yearsDiffusePatchyDiffusePatchyAbsentModerateAbsentAbsent
10aƒ##2 yearsLung transplant at 18 yearsDiffuseAbsentAbsentAbsentAbsentModerateAbsentPresent
10bƒ##2 yearsLung transplant at 18 yearsDiffuseDiffuseAbsentDiffuseMultifocalModerateAbsentPresent
18ƒ7 yearsModerate PH at 9 yearsDiffuseDiffuseAbsentPatchyAbsentModerateAbsentPresent
19ƒ7 yearsModerate PH at 10 yearsDiffuseAbsentAbsentAbsentAbsentModerateModeratePresent

PIG: pulmonary interstitial glycogenosis; PA: pulmonary artery; ILD: interstitial lung disease; PH: pulmonary hypertension. #: patchy, <50% of parenchyma; diffuse, >50% of parenchyma; : focal, three foci; multifocal, >3 foci; +: moderate, PA muscle wall thickness estimated 40–70% of diameter; §: biopsies obtained during neonatal period and showed grimmer prognosis; ƒ: biopsies obtained during childhood and showed better outcomes; ##: biopsy at age 2 and transplant at age 18, allowing longitudinal assessment of evolving histologic features (see details in text).