Coeliac disease as a cause of unusually severe anaemia in a young man with idiopathic pulmonary haemosiderosis.
Idiopathic pulmonary haemosiderosis (IPH) is characterized by a triad of recurrent episodes of alveolar haemorrhage, haemoptysis and iron deficiency anaemia. The combination of IPH and coeliac disease (CD) is extremely rare though both diseases may have a common pathogenetic link. As illustrated by our case CD should be specifically looked for in patients with IPH, especially those in whom the severity of anaemia is disproportionate to radiologic findings even in the absence of gastrointestinal symptoms since both diseases may benefit from a gluten-free diet.
Malhotra
Puneet
P
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India. dranshupuneet@yahoo.co.in
Aggarwal
Ritesh
R
Aggarwal
Ashutosh N
AN
Jindal
Surinder K
SK
Awasthi
Anshu
A
Radotra
Bishan D
BD
D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D002446:Celiac Disease / Q000150:complications*; D005541:Forced Expiratory Volume / Q000502:physiology; D006470:Hemorrhage / Q000209:etiology; D006486:Hemosiderosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D011650:Pulmonary Alveoli; D012008:Recurrence; D014797:Vital Capacity / Q000502:physiology