Mengar Manas, Gupta Nitesh, Chakrabarti Shibdas, Aggarwal Vipin, Shah Kalindi, Ish Pranav
Department of Pulmonary, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi.
Monaldi Arch Chest Dis. 2020 Feb 21;90(1). doi: 10.4081/monaldi.2020.1191.
Diffuse alveolar haemorrhage (DAH) is characterised by diffuse pulmonary opacities, respiratory failure, a falling haemoglobin level along with presence of hemosiderin-laden macrophages on bronchoalveolar lavage (BAL). Finding the underlying aetiology of DAH can be challenging but of importance as the treatment and prognosis are largely determined by it. We report a case of DAH with underlying cocaine abuse, a rare cause for the same.
弥漫性肺泡出血(DAH)的特征为弥漫性肺混浊、呼吸衰竭、血红蛋白水平下降以及支气管肺泡灌洗(BAL)时出现含铁血黄素巨噬细胞。找出DAH的潜在病因可能具有挑战性,但却很重要,因为治疗和预后很大程度上取决于此。我们报告一例潜在病因是可卡因滥用的DAH病例,这是该病的一种罕见病因。