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Previous Volume 347:1693-1701 November 21, 2002 Number 21 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 32-year-old man was admitted to the hospital because of long-standing hemoptysis and interstitial pulmonary disease.

The patient had been born of a 32-week gestation that was complicated by spotting during the first trimester and by a urinary tract infection, which was treated with sulfisoxazole, during the fifth month. During the patient's first three years, he had multiple respiratory problems, including croup, bronchitis, bronchiolitis, and what was described as "asthma." Hemoptyses began during, or soon after, his third year, and evaluation at another institution led to diagnoses of iron-deficiency anemia and idiopathic pulmonary hemosiderosis; no further details from this evaluation . . . [Full Text of this Article]

Differential Diagnosis

Diffuse Alveolar Hemorrhage

            Differential Diagnosis

            Clinical Features

            Useful Laboratory Data

            Role of Lung Biopsy

Probable Diagnosis in This Case

            Isolated Pauci-Immune Pulmonary Capillaritis

            Idiopathic Pulmonary Hemosiderosis

Clinical Diagnosis

Dr. Eric S. Silverman's Diagnosis

Pathological Diagnosis

Anatomical Diagnosis

This article has been cited by other articles:

• Boyer, D., Westra, S. J., Kinane, T. B., Stone, J. R. (2007). Case 3-2007 -- A 3-Year-Old Boy with Recurrent Episodes of Respiratory Insufficiency. NEJM 356: 398-407 [Full Text]  
• (2005). Recurrent haemoptysis with anaemia in a 16 year old man. Postgrad. Med. J. 81: e16-e16 [Full Text]  
• Maimon, N., Abu-Shakra, M., Sion-Vardi, N., Almog, Y. (2003). A 74-Year-Old Man With Bilateral Pulmonary Opacities and Rapidly Progressive Renal Failure. Chest 124: 2384-2387 [Full Text]