Diagnostic value of KL-6 detection in children diagnostic value of KL-6 detection in children with idio-pathic pulmonary hemosiderosis
10.3969/j.issn.1006-5725.2025.04.020
- VernacularTitle:涎液化糖链抗原-6在儿童特发性肺含铁血黄素沉着症中的诊断价值
- Author:
Huimin HUANG
1
;
Chenxin LIU
1
;
Yanting FANG
1
;
Peiyan ZHENG
1
Author Information
1. 广州医科大学附属第一医院临床检验中心,呼吸疾病全国重点实验室,国家呼吸医学中心,国家呼吸系统疾病临床医学研究中心,广州呼吸健康研究院(广东 广州 510120)
- Publication Type:Journal Article
- Keywords:
krebs von den lungen-6;
idiopathic pulmonary hemosiderosis;
pediatric pneumonia;
biomarkers
- From:
The Journal of Practical Medicine
2025;41(4):594-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical utility of krebs von den lungen-6(KL-6),a sialoglycan antigen,in the auxiliary diagnosis of idiopathic pulmonary hemosiderosis(IPH)in children.Methods A total of 140 children admitted to the First Affiliated Hospital of Guangzhou Medical University from June 2014 to July 2024 were categorized into a case group and a control group.The case group was further subdivided into four subgroups based on disease type:IPH group(n=32),interstitial lung disease(ILD)group(n=22),pneumonia(PN)group(n=60),and non-pulmonary disease(NPD)group(n=26).Serum KL-6 levels were measured for all children across these groups,and the differences in KL-6 expression between children with IPH and those without IPH(including the ILD,PN,and NPD groups)were analyzed.Results The positive rates of KL-6 in each group of children,from highest to lowest,were as follows:IPH(68.75%),ILD(45.45%),PN(1.69%),and NPD(0.00%).The differences in positive rates between groups were statistically significant(χ2=66.10,P<0.001).The mean serum level of KL-6 in the IPH group was significantly higher than that in the PN group(Z=-6.92,P<0.001).Diagnostic test results indicated that the area under the ROC curve was 0.940(95%CI:0.89 to 1.00,P<0.001),with a cut off value of 392.00 U/mL,sensitivity of 81.30%,and specificity of 95.00%.Conclusions KL-6 demonstrates significant diagnostic value in distinguishing IPH children from those with PN and NPD,making it a promising blood biomarker for aiding in the diagnosis of IPH.
