A child with recurrent pallor and hemoptysis: Diagnostic challenges

Abstract A 7-year-old girl presented with severe pallor, cough, and massive hemoptysis. She had been previously hospitalized twice within the time span of 2 years for severe pallor and hemoptysis, each time requiring 2U of blood transfusion. In the recent episode, blood examination was suggestive of...

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Bibliographic Details
Main Authors: Chaitali Patra, Shatanik Sarkar, Malay K. Dasgupta
Format: Article
Language:English
Published: SpringerOpen 2017-01-01
Series:The Egyptian Journal of Bronchology
Subjects:
Online Access:http://link.springer.com/article/10.4103/1687-8426.198993
Description
Summary:Abstract A 7-year-old girl presented with severe pallor, cough, and massive hemoptysis. She had been previously hospitalized twice within the time span of 2 years for severe pallor and hemoptysis, each time requiring 2U of blood transfusion. In the recent episode, blood examination was suggestive of iron deficiency anemia, chest radiograph yielded bilateral pulmonary infiltrate, computed tomography scan of lungs showed ground glass pattern, and bronchoalveolar lavage revealed hemosiderin-laden macrophages. Investigations to exclude any secondary causes of pulmonary hemosiderosis were negative. The child was diagnosed as a case of idiopathic pulmonary hemosiderosis and treated with prednisolone.
ISSN:1687-8426
2314-8551