title: Successful use of plasmapheresis for granulomatosis with polyangiitis presenting as diffuse alveolar hemorrhage.
abstract: Diffuse alveolar hemorrhage (DAH) is uncommon in pediatric patients and is a rare presenting sign of granulomatosis with polyangiitis (GPA). We present the case a 14-year-old girl who presented with respiratory failure secondary to DAH as the initial presenting sign of GPA. Her clinical course improved after initiation of plasmapheresis therapy and she is now in clinical remission.
authors.affiliation: Division of Pulmonary Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. mhaupt@luriechildrens.org
authors.forename: Mark E
authors.initials: ME
authors.lastname: Haupt
authors.forename: John
authors.initials: J
authors.lastname: Pires-Ervoes
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Brannen
authors.forename: Marisa S
authors.initials: MS
authors.lastname: Klein-Gitelman
authors.forename: Adrienne L
authors.initials: AL
authors.lastname: Prestridge
authors.forename: Mary A
authors.initials: MA
authors.lastname: Nevin
mesh_terms: D000293:Adolescent; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D010956:Plasmapheresis; D012131:Respiratory Insufficiency / Q000209:etiology*