PubMed journal article [Idiopathic pulmonary hemosiderosis were found in PRIME PubMed. Download Source. Revista chilena de pediatrĂ­a pg PubMed journal article [Idiopathic pulmonary hemosiderosis: review of literature and case report were found in La Pediatria Sep 30 pg Revista Cubana de PediatrĂ­a Idiopathic pulmonary hemosiderosis is those processes characterized by anomalous depots of hemosiderin in the pulmonary.

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Fax 55 21 E-mail: The clinical suspicion of alveolar hemorrhage was raised by the lack of response to iron therapy, with a progressive decrease in Hb levels and after extensive investigation of other potential sources of bleeding. The gold standard for the diagnosis of diffuse alveolar pedixtria is pulmonary biopsy, which may also enable the diagnosis of some of the specific causes of hemorrhage.

Celiac disease, cystic fibrosis and pernicious anemia were excluded.

[Hydroxychloroquine in pediatric idiopathic pulmonary hemosiderosis–a case report].

Vitamin B 12 and folic acid were within normal range and the bone marrow smear was compatible with sideropenia. Treatment of idiopathic pulmonary hemosiderosis with inhaled flunisolide. He was pale, prostrated and tachypneic, with dispersed bilateral rhonchi on pulmonary auscultation. Budesonide inhalation to treat idiopathic pulmonary haemosiderosis. No dia seguinte, mantinha-se grave, com piora do hemograma Hct: The magazine, referring to the Spanish-speaking pediarria, indexed in major international databases: Are you a health professional able to prescribe or dispense drugs?

Diffuse bilateral opacity with ill-defined edges, with a predominantly central location. Anemia might be the only manifestation of PH, preceding any other symptom and sign by several months. Long-term prednisone and azathioprine treatment of a patient with idiopathic pulmonary hemosiderosis.


Please review our privacy policy. Idiopathic pulmonary hemosiderosis in an adult. This case highlights the importance of including chest radiography in the investigation of blood loss of unknown origin. Idiopathic pulmonary hemosiderosis in adults: Pediatr Rio de J.


There are no universal recommendations regarding treatment of idiopathic PH. A 4 year-old boy with a previous history of recurrent wheezing, with yemosiderosis criteria of severity and no associated manifestations, was observed in an emergency department for fever, vomiting and prostration. The patient is currently asymptomatic. The cytological exam of the bronchoalveolar lavage showed hemosiderin-laden macrophages. Long-term outcome of idiopathic pulmonary hemosiderosis in children.

Idiopathic pulmonary hemosiderosis

As such, hemosidfrosis the iron-deficiency anemia with characteristics compatible with blood loss although not identifiedand despite the absence of respiratory symptoms at this phase, we started looking for other sources of hemorrhage, namely pulmonary. He was initiated on corticosteroid therapy, later associated to an immunosuppressive agent, with subsequent correction of anemia and of the radiological pattern. Iron-deficiency anemia is the most frequent hematologic disease in pediatrics.

Journal List Einstein Sao Paulo v. Subsequently, there was laboratory improvement and corticosteroid was tapered. Support Center Support Center. Chest computerized tomography scan. You can change the settings or obtain more information by clicking here. Monaldi Arch Chest Dis. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

J Paediatr Child Health.


Continuing navigation will be considered as acceptance of this use. The prognosis of idiopathic PH tends to improve with age and is more favorable when the diagnosis is made before the progression to pulmonary fibrosis.

A pulmonary computerized tomography CT scan Figure 3 showed diffuse ground-glass attenuation in both lungs with no zonal predilection, some dispersed areas of lower density, and several scattered micronodules. Services on Demand Journal. There were no morphologic abnormalities or changes of the respiratory mucosa, and the cytological exam of the bronchoalveolar lavage showed After the etiological study, the diagnosis of idiopathic pulmonary hemosiderosis was made by exclusion.

J Clin Case Rep. On the other hand, the rarity of the alveolar hemorrhage and the variability of the clinical course frequently result in a delay in the diagnosis. After 6 days, he was discharged on oral iron therapy, with Hb of 8.

He was transfused with packed red blood cells and was admitted for treatment and investigation. How to cite this article. Subsequently, pulmonary infiltrates suggestive of alveolar hemorrhage were observed in the chest radiography.

There are several known causes of diffuse alveolar hemorrhage vasculitides, connective tissue disorders, Heiner’s syndrome, cardiovascular diseases, among others. As there was a poor response to intravenous iron therapy, he was readmitted to further investigate gastrointestinal bleeding.

Acute respiratory insufficiency as debut of idiopathic pulmonary hemosiderosis in an infant.