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European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis
Open accessAbstract
We have generated the first international clinical guidelines for LAM. As LAM is a multisystem rare disease, this required the participation of a range of specialists from many countries, particularly Europe and the USA. The absence of a strong evidence base for this rare disease required the use of a consensus technique to provide guidelines containing the best synthesis of evidence and expert opinion. These guidelines contain the first proposal of diagnostic criteria in LAM and recommend investigations and work-up for patients, screening of groups at risk for LAM, discussion of prognosis and management. The overall aim of this document is to help patients by achieving an earlier diagnosis and better care, including in countries with differing levels of healthcare resources. The guidelines will be reviewed regularly or in real time should a major advance occur.
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Fewer patients with lymphangioleiomyomatosis have required lung transplant since standardized use of mTOR inhibitors.
“Fewer patients with LAM have required lung transplant since the standardized use of mTOR inhibitors as treatment, but it remains an indication for those with severely abnormal lung function (FEV1 < 30%), exertional dyspnea (NYHA class III or IV), or hypoxemia at rest.(303–306, 308–315)”
From Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation. (2021) · cites this paper as [310]
The Conclusions recommend against routine sirolimus use for pulmonary LAM outside clinical trials and describe mTOR inhibitors as a possible future treatment, contrary to the claim’s premise of standardized use. They do not report a decline in the number of patients requiring lung transplantation. The transplantation recommendations do support considering transplant for patients with severe disease, but not the claimed decline. (LLM, conf=0.85)
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Metadata
- Authors
- Johnson, S. R., Cordier, J. F., Lazor, R., Cottin, V., Costabel, U., Harari, S., Reynaud-Gaubert, M., Boehler, A., Brauner, M., Popper, H., Bonetti, F., Kingswood, C., & the Review Panel of the ERS LAM Task Force
- Affiliations
- University of Nottingham (GB)
- Lyon 1 Université (FR)
- University of Verona (IT)
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2009-12-31
- Volume
- 35
- Issue
- 1
- Pages
- 14-26
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2099927259
- Semantic Scholar
- 6339b11b8ddd21872703d559033c36b7535105a3
- Cited by
- 590
- References
- 115
- Citations by year
- 2026: 17 · 2025: 46 · 2024: 38 · 2023: 39 · 2022: 30 · 2021: 50 · 2020: 34 · 2019: 39 · 2018: 37 · 2017: 39 · 2016: 36 · 2015: 32 · 2014: 35 · 2013: 29 · 2012: 39
- FWCI
- 19.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Respiratory Journal (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- HAL (submittedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Centre Hospitalier Universitaire Vaudois
- Karl-Franzens-Universität Graz
- Université de Lyon
- Topics
- Health Sciences › Medicine › Genetics (clinical) › Tuberous Sclerosis Complex Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
- Health Sciences › Medicine › Surgery › Vascular Malformations and Hemangiomas
- Keywords
- lymphangioleiomyomatosis, diagnosis, management, pulmonary vascular disease, pulmonary nodules, cystic lung disease
- MeSH terms
- Humans, Lung Transplantation, Lymphangioleiomyomatosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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