Lewis Anna Elisabeth, Høi-Hansen Christina Engel, Buchvald Frederik, Petersen Werner
Børne- og Ungeafdelingen, Nordsjællands -Hospital, Hillerød, Dyrehavevej 29, 3400 Hillerød. E-mail:
Ugeskr Laeger. 2014 Sep 22;176(39).
Idiopathic pulmonary haemosiderosis (IPH) is a rare disease. We describe a girl with Down syndrome who had no major respiratory symptoms until one year of age, where recurrent airway infections and chronic anaemia of unknown aetiology developed. At 20 months of age she had intermittent haemo-ptysis, was investigated with computed tomography and broncho-alveolar lavage and was diagnosed with IPH. After treatment, respiratory symptoms and anaemia resolved and a positive impact on previously impaired growth and psychomotor development was seen. Paediatricians should consider IPH in children with recurrent respiratory symptoms and anaemia.
特发性肺含铁血黄素沉着症(IPH)是一种罕见疾病。我们描述了一名患有唐氏综合征的女孩,她在1岁之前没有明显的呼吸道症状,之后出现了反复的气道感染和病因不明的慢性贫血。在20个月大时,她出现间歇性咯血,接受了计算机断层扫描和支气管肺泡灌洗检查,被诊断为IPH。经过治疗,呼吸道症状和贫血症状得到缓解,并且对之前受损的生长和精神运动发育产生了积极影响。儿科医生应考虑到患有反复呼吸道症状和贫血的儿童可能患有IPH。