Recurrent alveolar hemorrhage: How do you treat that which you cannot see?

Autor: Philipose Jobin, Siddiqui Faraz, Wong Jiyoung, Wiesel Shimshon, Esper Ziad, Elsayegh Dany
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 25, Iss , Pp 201-203 (2018)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2018.09.002
Popis: Diffuse alveolar hemorrhage (DAH) is a rare and life-threatening event which is characterized by bleeding into the alveolar spaces of the lung. Etiology of DAH can be broadly divided into immune and non-immune mediated disease. In the absence of infection or malignancy, an immunological workup is required to find the cause of alveolar bleed. Rarely, there is a failure to establish a definitive etiology in patients with DAH. In those scenarios, patients who do not respond to steroids, plasmapheresis should be considered as a rescue treatment to prevent catastrophic outcomes. Herein, we present a unique case of a 48-year-old male admitted with DAH of unknown etiology completely recovered after empirical plasmapheresis.
Databáze: Directory of Open Access Journals