Agrawal Gyanendra, Agarwal Ritesh, Rohit Manoj Kumar, Mahesh Venkat, Vasishta Rakesh Kumar
Gyanendra Agrawal, Ritesh Agarwal, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
World J Radiol. 2011 Feb 28;3(2):51-4. doi: 10.4329/wjr.v3.i2.51.
Pulmonary hemosiderosis is defined as the clinical and functional consequence of iron overload of the lungs, which usually occurs due to recurrent intra-alveolar bleeding. It can manifest as miliary mottling and should be entertained in the differential diagnosis of patients presenting with miliary nodules on chest radiography, especially those with mitral stenosis. The management of secondary pulmonary hemosiderosis secondary to valvular heart disease includes valvuloplasty and/or valve replacement. The radiological opacities may disappear with successful treatment of the underlying valvular disease in many patients. However, they may persist with no physiological impairment to the patient. Here, we present a 32-year-old man with mitral stenosis who presented with fever and miliary shadows on chest radiography, which was ultimately diagnosed as secondary pulmonary hemosiderosis.
肺含铁血黄素沉着症被定义为肺部铁过载的临床和功能后果，其通常由于反复的肺泡内出血而发生。它可表现为粟粒状斑点，在胸部X线片上出现粟粒结节的患者的鉴别诊断中应考虑到该病，尤其是那些患有二尖瓣狭窄的患者。继发于瓣膜性心脏病的继发性肺含铁血黄素沉着症的治疗包括瓣膜成形术和/或瓣膜置换术。在许多患者中，随着潜在瓣膜疾病的成功治疗，放射学上的不透明影可能会消失。然而，它们可能会持续存在，而对患者没有生理损害。在此，我们报告一名32岁患有二尖瓣狭窄的男性，其胸部X线片显示发热和粟粒状阴影，最终被诊断为继发性肺含铁血黄素沉着症。
