title: [Intra-alveolar pulmonary haemorrhage, an unusual manifestation of the primary antiphospholipid syndrome].
abstract: Pulmonary embolism is the main pulmonary manifestation of primary antiphospholipid syndrome. Other pulmonary manifestations including intra-alveolar haemorrhage are less common. We report a 36-year-old man with a primary antiphospholipid syndrome who presented with an acute respiratory failure due to the association of pulmonary embolism and intra-alveolar haemorrhage. This diagnosis should be systematically considered as it is life threatening and requires a specific therapy.
authors.affiliation: Service de médecine interne B, Hôpital Bretonneau, CHRU de Tours, Université François-Rabelais de Tours, 37044 Tours, France.
authors.forename: M
authors.initials: M
authors.lastname: Lafosse-Marin
authors.forename: M
authors.initials: M
authors.lastname: Marcq
authors.forename: P
authors.initials: P
authors.lastname: Diot
authors.forename: Y
authors.initials: Y
authors.lastname: Gruel
authors.forename: E
authors.initials: E
authors.lastname: Diot
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D018893:Bronchoalveolar Lavage; D001999:Bronchoscopy; D004417:Dyspnea / Q000209:etiology; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D011650:Pulmonary Alveoli; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D013902:Radiography, Thoracic; D012131:Respiratory Insufficiency / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011239:Prednisolone