Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia

Idiopathic pulmonary hemosiderosis (IPH) is a rare cause of alveolar hemorrhage in children but should be considered in children with anemia of unknown origin who develop respiratory complications. It is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchymal infiltrates, an...

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Main Authors: A. Potalivo, L. Finessi, F. Facondini, A. Lupo, C. Andreoni, G. Giuliani, C. Cavicchi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2015/876904
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author A. Potalivo
L. Finessi
F. Facondini
A. Lupo
C. Andreoni
G. Giuliani
C. Cavicchi
author_facet A. Potalivo
L. Finessi
F. Facondini
A. Lupo
C. Andreoni
G. Giuliani
C. Cavicchi
author_sort A. Potalivo
collection DOAJ
description Idiopathic pulmonary hemosiderosis (IPH) is a rare cause of alveolar hemorrhage in children but should be considered in children with anemia of unknown origin who develop respiratory complications. It is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchymal infiltrates, and iron-deficiency anemia. Pathogenesis is unclear and diagnosis may be difficult along with a variable clinical course. A 6-year-old boy was admitted to the hospital with a severe iron-deficiency anemia, but he later developed severe acute respiratory failure and hemoptysis requiring intubation and mechanical ventilation. The suspicion of IPH led to the use of immunosuppressive therapy with high dose of corticosteroids with rapid improvement in clinical condition and discharge from hospital.
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institution Kabale University
issn 2090-6846
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Pulmonology
spelling doaj-art-57de68447fee4f619033f1c35e819f5f2025-02-03T06:01:41ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/876904876904Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency AnemiaA. Potalivo0L. Finessi1F. Facondini2A. Lupo3C. Andreoni4G. Giuliani5C. Cavicchi6Department of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyDepartment of Emergency, Anaesthesia and Intensive Care Section, Infermi Hospital, Viale Luigi Settembrini 2, 47923 Rimini, ItalyIdiopathic pulmonary hemosiderosis (IPH) is a rare cause of alveolar hemorrhage in children but should be considered in children with anemia of unknown origin who develop respiratory complications. It is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchymal infiltrates, and iron-deficiency anemia. Pathogenesis is unclear and diagnosis may be difficult along with a variable clinical course. A 6-year-old boy was admitted to the hospital with a severe iron-deficiency anemia, but he later developed severe acute respiratory failure and hemoptysis requiring intubation and mechanical ventilation. The suspicion of IPH led to the use of immunosuppressive therapy with high dose of corticosteroids with rapid improvement in clinical condition and discharge from hospital.http://dx.doi.org/10.1155/2015/876904
spellingShingle A. Potalivo
L. Finessi
F. Facondini
A. Lupo
C. Andreoni
G. Giuliani
C. Cavicchi
Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
Case Reports in Pulmonology
title Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
title_full Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
title_fullStr Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
title_full_unstemmed Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
title_short Severe Respiratory Distress in a Child with Pulmonary Idiopathic Hemosiderosis Initially Presenting with Iron-Deficiency Anemia
title_sort severe respiratory distress in a child with pulmonary idiopathic hemosiderosis initially presenting with iron deficiency anemia
url http://dx.doi.org/10.1155/2015/876904
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