[Pulmonary hemosiderosis and gastroesophageal reflux in an infant].
Pulmonary hemosiderosis (PH) has been described in association with a variety of immunological and non-immunological diseases. It is characterised by iron-deficiency anaemia, hemoptysis and diffuse pulmonary infiltrates based on recurrent intraalveolar hemorrhages. We present the case of a child with pulmonary hemosiderosis and a pathological gastroesophageal reflux activity. The child suffered from recurrent anaemic episodes the age of three months (hemoglobin level up to 5.4 g/dl). The symptoms decreased after removal of the gastroesophageal reflux and accompanying steroid therapy. There has been one relapse of pulmonary hemorrhage seven months later (hemoglobin level 6.1 g/dl). Since then the patient has been in good general condition and the steroid was slowly reduced. No more anaemic episodes occurred. We discuss a possible association of pathological gastroesophageal reflux activity in pulmonary hemosiderosis.
Weimer
B
B
Abteilung für allgemeine Pädiatrie II der Universitätsklinik Frankfurt am Main.
Ahrens
P
P
Miething
R
R
Jansen
S
S
D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D003937:Diagnosis, Differential; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000473:pathology; D006486:Hemosiderosis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000175:diagnosis* / Q000473:pathology; D016676:Macrophages, Alveolar / Q000473:pathology; D008297:Male; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000473:pathology