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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:1183-1190 April 22, 1993 Number 16
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Case 16-1993— A 13-Year-Old Girl with Gross Hematuria Four Years after a Diagnosis of Idiopathic Pulmonary Hemosiderosis
Norman D. Rosenblum, and Robert B. Colvin

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Presentation of Case

A 13-year-old girl was admitted to the hospital because of fever, cough, and hematuria.

As a young child she had had recurrent pneumonia, with one episode of gross hematuria ascribed to urinary tract infection. At the age of nine years, shortly after arriving in the United States from the Dominican Republic, she was evaluated at this hospital. An x-ray film of the chest showed hazy linear and nodular consolidations in both lungs that were principally central in location and paratracheal and hilar lymphadenopathy. The urine, urea nitrogen, total protein, albumin, and globulin were normal. A tuberculin skin test (PPD, 5 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Norman D. Rosenblum's Diagnoses

Pathological Discussion

Anatomical Diagnosis

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