Kahraman Hasan, Köksal Nurhan, Ozkan Fuat
Department of Chest Diseases, Kahramanmaraş Sutcuimam University, Kahramanmaraş, Turkey.
N Am J Med Sci. 2012 Jan;4(1):49-51. doi: 10.4103/1947-2714.92907.
Idiopathic pulmonary hemosiderosis is characterized by recurrent episodes of alveolar hemorrhage, hemoptysis, and secondary iron deficiency anemia with unknown etiology. It generally emerges in childhood and adolescence periods but rarely found in adulthood. Definite diagnosis is established by appearing the hemosiderin-laden macrophages at sputum, bronchoalveolar lavage, or open lung biopsy. We reported a male patient who was born in 1975, expectorated blood since 1995, and was diagnosed in 1998. He received many blood replacements. He admitted to our clinic in 2003 with complaints of coughing up blood, shortness of breath, and tiredness. We gave the corticosteroid therapy to patient for 6-month period. After treatment, the patient did not have any complaints. Clinicians should keep in mind that idiopathic pulmonary hemosiderosis may differ in localization on chest X-ray and corticosteroid treatment should be started when diagnosis is established.
特发性肺含铁血黄素沉着症的特征是肺泡反复出血、咯血和继发缺铁性贫血，病因不明。它通常出现在儿童期和青春期，但在成年期很少见。通过在痰液、支气管肺泡灌洗或开胸肺活检中出现含铁血黄素巨噬细胞来确诊。我们报告了一名男性患者，他出生于1975年，自1995年起咯血，于1998年确诊。他接受了多次输血。他于2003年因咯血、气短和疲劳主诉入住我们诊所。我们给予该患者6个月的皮质类固醇治疗。治疗后，患者无任何不适。临床医生应牢记，特发性肺含铁血黄素沉着症在胸部X线片上的定位可能不同，确诊后应开始皮质类固醇治疗。
