Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia

Autor: Giovanni Giuliani, A. Lupo, L. Finessi, C. Andreoni, Antonella Potalivo, Francesca Facondini, C. Cavicchi
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Pulmonology, Vol 2015 (2015)
Case Reports in Pulmonology
ISSN: 2090-6854
2090-6846
DOI: 10.1155/2015/876904
Popis: Idiopathic pulmonary hemosiderosis (IPH) is a rare cause of alveolar hemorrhage in children but should be considered in children with anemia of unknown origin who develop respiratory complications. It is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchymal infiltrates, and iron-deficiency anemia. Pathogenesis is unclear and diagnosis may be difficult along with a variable clinical course. A 6-year-old boy was admitted to the hospital with a severe iron-deficiency anemia, but he later developed severe acute respiratory failure and hemoptysis requiring intubation and mechanical ventilation. The suspicion of IPH led to the use of immunosuppressive therapy with high dose of corticosteroids with rapid improvement in clinical condition and discharge from hospital.
Databáze: OpenAIRE