title: Case report of idiopathic pulmonary haemosiderosis in a child with recurrent chest infections.
abstract: Idiopathic pulmonary haemosiderosis (IPH) is a rare condition that usually presents as a triad of haemoptysis, iron deficiency anaemia and pulmonary infiltrates. We report a case of IPH diagnosed in a 7 year old boy who had recurrent hospital admissions with severe chest infections and haemoptysis from his first few months of life. He was found to have microcytic hypochromic anaemia, diffuse infiltrate shadowing on his chest X-ray (CXR) and ground-glass opacification on his computed tomogram (CT). Perl's Prussian blue staining of his bronchoalveolar lavage fluid revealed haemosiderin-laden macrophage infiltration. After exclusion of infective, cardiac, immunological and glomerular causes, he was diagnosed with idiopathic pulmonary haemosiderosis. He has since been treated intermittently with steroids, which have failed to control his symptoms fully.
authors.affiliation: Nottingham University Hospitals NHS trust, City Hospital Campus, Nottingham, UK. Renan.ibrahem@doctors.org.uk
authors.forename: Renan
authors.initials: R
authors.lastname: Ibrahem
authors.forename: Anita
authors.initials: A
authors.lastname: Arasaretnam
authors.forename: Katherine
authors.initials: K
authors.lastname: Ordidge
authors.forename: John
authors.initials: J
authors.lastname: Vedelago
authors.forename: Rosemary
authors.initials: R
authors.lastname: Toy
mesh_terms: D000747:Anemia, Hypochromic / Q000209:etiology; D001992:Bronchoalveolar Lavage Fluid; D002648:Child; D003937:Diagnosis, Differential; D006469:Hemoptysis / Q000209:etiology; D006486:Hemosiderosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology*; D008297:Male; D013902:Radiography, Thoracic; D012008:Recurrence; D012141:Respiratory Tract Infections / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D000097545:Hemosiderosis, Pulmonary