{
  "abstract": "Inflammatory bowel disease (IBD) is a chronic inflammatory disorder often presenting with extra-intestinal manifestations (EIMs) involving the skin, joints and eyes. However, pulmonary manifestation, such as interstitial lung disease (ILD), is a rare complication, particularly in the pediatric population. We report a case of a 10-year-old boy, with very early onset IBD-ulcerative colitis, presented with non-productive cough, fever and dyspnea, with examination findings revealing respiratory distress, pallor, clubbing and pyoderma gangrenosum. High-resolution computed tomography (HRCT) was suggestive of bilateral diffuse ground-glass opacities with intralobular septal thickening and tractional bronchiectasis, consistent with non-specific interstitial pneumonia (NSIP). Furthermore, the patient developed septic shock and macrophage activation syndrome, requiring intensive care management and immunosuppression. This case highlights that even in the setting of silent intestinal disease activity of a pediatric IBD case, the patient can have potentially life-threatening pulmonary EIMs, warranting early diagnosis and treatment.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Pediatric Gastroenterology and Hepatology Bai Jerbai Wadia Hospital for Children Mumbai Maharashtra India.",
    "Department of Pediatric Respiratory Medicine Bai Jerbai Wadia Hospital for Children Mumbai Maharashtra India.",
    "Department of Pediatric Critical Care Bai Jerbai Wadia Hospital for Children Mumbai Maharashtra India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Harshit Vachher",
      "orcid": "0000-0001-6139-7724"
    },
    {
      "affs": [
        0
      ],
      "name": "Vishrutha Poojari"
    },
    {
      "affs": [
        0
      ],
      "name": "Shivangi Tetarbe"
    },
    {
      "affs": [
        1
      ],
      "name": "Parmarth Chandane"
    },
    {
      "affs": [
        2
      ],
      "name": "Lakshmi Shobhavat"
    },
    {
      "affs": [
        0
      ],
      "name": "Ira Shah"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1wsrccxf3b2fv.bib",
  "cited_by": 0,
  "doi": "10.1002/jpr3.70289",
  "fulltext_url": "https://europepmc.org/articles/PMC13740739",
  "id": "1wsrccxf3b2fv",
  "issns": [
    "2691-171X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42996657",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2715|Inflammatory Bowel Disease"
    ]
  ],
  "openalex": "W7225403384",
  "pdf_url": "https://europepmc.org/articles/PMC13740739?pdf=render",
  "pmcid": "PMC13740739",
  "pmid": "42996657",
  "published": "2026-11-05",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1wsrccxf3b2fv.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42996657",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42996657"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2715|Inflammatory Bowel Disease",
      "subfield": "general"
    }
  ],
  "title": "Beyond the gut: Non-specific interstitial pneumonia in pediatric ulcerative colitis-A rare extra-intestinal manifestation.",
  "title_text": "Beyond the gut: Non-specific interstitial pneumonia in pediatric ulcerative colitis-A rare extra-intestinal manifestation.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/1wsrccxf3b2fv",
  "venue": "JPGN reports",
  "versions": []
}