title: Idiopathic pulmonary hemosiderosis: a rare cause of iron-deficiency anemia in childhood.
abstract: Idiopathic pulmonary hemosiderosis is a chronic, rare disorder confined to the lung, which is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchyma infiltrates on chest radiography, and iron-deficiency anemia. Diagnosis may be difficult and the clinical course may be widely variable. Here, we describe an 8-year-old boy whose isolated symptom on presentation was iron-deficiency anemia. Presence of hemoptysis and bilateral alveolar infiltrates on chest x-ray led to the diagnosis of pulmonary hemosiderosis, subsequently confirmed by the finding of hemosiderin-laden macrophages by bronchoalveolar lavage. The patient was started on prednisolone 2 mg/kg/d and no further bleeding episodes were noted after the onset of therapy.
authors.affiliation: Department of Paediatric Haemato-Oncology, Pausilipon Hospital, Naples, Italy. vincenzo.poggi@onc-pausilipon.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Poggi
authors.forename: Andrea
authors.initials: A
authors.lastname: Lo Vecchio
authors.forename: Francesco
authors.initials: F
authors.lastname: Menna
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Menna
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000209:etiology*; D002648:Child; D002908:Chronic Disease; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006486:Hemosiderosis / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000209:etiology; D008297:Male; D011658:Pulmonary Fibrosis / Q000175:diagnosis / Q000209:etiology