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Respiratory Distress and Severe Anemia in a Child With Idiopathic Pulmonary Hemosiderosis

Temel, Münevver T., MD*; Temel, Levent, MD; Coskun, Mehmet E., MD*; Konduk, Bugra T., MD; Akbayram, Sinan, MD§; Demiryürek, Abdullah T., PhD

Journal of Pediatric Hematology/Oncology: May 2019 - Volume 41 - Issue 4 - p e254–e256
doi: 10.1097/MPH.0000000000001175
Online Articles: Clinical and Laboratory Observations
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Idiopathic pulmonary hemosiderosis is an infrequent cause of pulmonary hemorrhage in children. It is classically defined by the triad of recurrent hemoptysis, iron-deficiency anemia, and diffuse parenchymal infiltration without an obvious cause. The pathogenesis remains unexplained, diagnosis may be difficult, and the clinical course exceedingly variable. A 4-year-old girl was admitted to the hospital with complaints of dyspnea, and skin and mucous membrane pallor. The suspicion of idiopathic pulmonary hemosiderosis led to the use of corticosteroid therapy with rapid improvement in clinical condition and discharge from hospital.

Departments of *Pediatrics

Gastroenterology

§Pediatric Hematology

Medical Pharmacology, Faculty of Medicine, University of Gaziantep

Pediatrics Clinic, Private Gaziantep Defa Life Hospital, Gaziantep, Turkey

The authors declare no conflict of interest.

Reprints: Münevver T. Temel, MD, Department of Pediatrics, Faculty of Medicine, University of Gaziantep, Gaziantep 27310, Turkey (e-mail: t_bilgic@yahoo.com).

Received November 30, 2017

Accepted February 16, 2018

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