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 |
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Rok vydání: | 2015 |
Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine Mechanical ventilation Pediatrics medicine.medical_specialty Respiratory distress business.industry Anemia medicine.medical_treatment Clinical course Case Report lcsh:Diseases of the respiratory system Hemosiderosis medicine.disease Surgery Pathogenesis Iron-deficiency anemia medicine Intubation business |
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 |
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