[A case of alveolar hemorrhage associated with mixed connective tissue disease].
A 52-year-old woman was admitted to our hospital because of anemia and abnormal lung shadow. She had Raynaud's symptom for 6 months, and recently developed cough and easy fatigability. She had thrombocytopenia, restrictive pulmonary dysfunction, and swollen fingers. ANF was positive (X1280), and anti-RNP antibody was also positive. Mixed connective tissue disease was diagnosed. Chest X-ray showed a diffuse alveolar pattern, and BAL revealed many hemosiderin-laden macrophages. Alveolar hemorrhage was suspected. The pulmonary shadow resolved spontaneously, and no recurrence occurred after steroid and immunosuppressant therapy.
Kobayashi
O
O
Department of Internal Medicine, Niigata Prefectural Central Hospital, Joetsu, Japan.
Igarashi
K
K
Sekiya
M
M
Saito
H
H
D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D008875:Middle Aged; D008947:Mixed Connective Tissue Disease / Q000150:complications*; D011650:Pulmonary Alveoli