Idiopathic pulmonary hemosiderosis presenting in an adult: A case report and review of the literature
| Autor: | Hinesh N. Upadhyay, Farha K Sherani, Khalid Sherani, Abhay Vakil, Samir Sarkar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
Mechanical ventilation lcsh:RC705-779 Pathology medicine.medical_specialty Connective Tissue Disorder diffuse alveolar hemorrhage medicine.diagnostic_test business.industry medicine.medical_treatment Diffuse alveolar hemorrhage Case Report Lung biopsy lcsh:Diseases of the respiratory system medicine.disease Adult-onset glucocorticoid therapy Bronchoalveolar lavage Respiratory failure medicine Intubation business Vasculitis idiopathic pulmonary hemosiderosis |
| Zdroj: | Lung India : Official Organ of Indian Chest Society Lung India, Vol 32, Iss 4, Pp 395-397 (2015) |
| ISSN: | 0974-598X 0970-2113 |
| Popis: | Diffuse alveolar hemorrhage (DAH) is characterized by the presence of hemoptysis, anemia, and the presence of diffuse parenchymal infiltrates on imaging studies. Idiopathic pulmonary hemosiderosis (IPH) is an uncommon cause of diffuse alveolar hemorrhage (DAH) and is classically known to present in childhood. Adult-onset IPH is extremely rare. We report the case of a 48-year-old female patient who presented with hemoptysis and acute hypoxic respiratory failure, requiring intubation and mechanical ventilation. Imaging studies showed diffuse bilateral patchy infiltrates. Bronchoalveolar lavage (BAL) confirmed the diagnosis of DAH. Extensive workup including video-assisted thoracoscopic surgical lung biopsy (VATS) failed to reveal any vasculitis, infectious, immunological or connective tissue disorder, as the underlying cause for DAH. The patient was successfully treated with high-dose steroid therapy. |
| Databáze: | OpenAIRE |
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