Dua T, Chandra J, Jain M, Passah S M, Dutta A K
Department of Pediatrics, Lady Hardinge Medical College, New Delhi.
Indian J Pediatr. 2000 Sep;67(9):693-4. doi: 10.1007/BF02762188.
Two cases of idiopathic pulmonary hemosiderosis in children are reported. Both cases presented with a combination of acute/recurrent respiratory symptoms along with iron deficiency anemia. In one case diagnosis was delayed for 18 months after onset of symptoms. After initial stabilisation with corticosteroid therapy, both cases were put on chloroquine therapy and showed improvement. Various other forms of therapy and outcome are discussed. It is suggested that in cases with recurrent respiratory symptoms, idiopathic pulmonary hemosiderosis should also be considered after excluding infectious etiology.
报告了两例儿童特发性肺含铁血黄素沉着症。两例均表现为急性/反复呼吸道症状合并缺铁性贫血。其中一例在症状出现后18个月才确诊。在最初用皮质类固醇治疗稳定病情后，两例均接受氯喹治疗并有所改善。还讨论了其他各种治疗方法及结果。建议对于有反复呼吸道症状的病例，在排除感染性病因后也应考虑特发性肺含铁血黄素沉着症。
