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Previous Volume 352:2425-2434 June 9, 2005 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 22-year-old black woman was transferred to this hospital because of respiratory failure.

A diagnosis of sickle cell anemia had been made when the patient was a child, at six years of age. She had last been hospitalized for a sickle cell crisis 12 years earlier. One month before admission, she had bilateral arm pain after jogging and went to a local hospital. A chest radiographic study obtained with a portable unit showed no abnormalities except for bibasilar hazy opacities, which were thought to be due to overlying soft tissues. Laboratory test results are shown in Table 1. Morphine . . . [Full Text of this Article]

Differential Diagnosis

ARDS

The Acute Chest Syndrome

Management of ARDS

            Basic Principles

            Management of Catastrophic ARDS

            Lung Recruitment

            Nitric Oxide

            Pulmonary-Artery Catheters

            Combination Therapy

Management of Respiratory Failure in the Acute Chest Syndrome

Transfusion Therapy for the Acute Chest Syndrome

Dr. Benjamin D. Medoff's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Pulmonary and Critical Care Unit, Center for Immunology and Inflammatory Diseases, Department of Medicine (B.D.M.), and the Departments of Radiology (J.O.S.) and Pathology (R.N.S., A.K.), Massachusetts General Hospital; and the Departments of Medicine (B.D.M.), Radiology (J.O.S.), and Pathology (R.N.S., A.K.), Harvard Medical School.

Related Letters:

Case 17-2005: Acute Chest Syndrome and ARDS
Castro O., Gladwin M. T., Kopterides P., Fremont R., Medoff B. D.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:1529-1530, Oct 6, 2005. Correspondence

This article has been cited by other articles:

• Fan, E., Needham, D. M., Stewart, T. E. (2005). Ventilatory Management of Acute Lung Injury and Acute Respiratory Distress Syndrome. JAMA 294: 2889-2896 [Abstract] [Full Text]  
• Castro, O., Gladwin, M. T., Kopterides, P., Fremont, R., Medoff, B. D. (2005). Case 17-2005: acute chest syndrome and ARDS.. NEJM 353: 1529-1530 [Full Text]