title: Idiopathic pulmonary haemosiderosis presenting as severe iron deficiency anaemia--a case from Pakistan.
abstract: Idiopathic pulmonary haemosiderosis is an uncommon disorder, which is characterized by iron deficiency, recurrent haemoptysis and diffuse parenchymal infiltration on chest radiograph. We report an 8 year old child who had past history of multiple blood transfusions with diagnosis of iron deficiency anaemia and recurrent chest infection since the age of 21/2 year. At the age of 8 years, the child presented with fever and severe respiratory distress requiring intubation and ventilation. On Chest X-ray, bilateral white out was found and CT scan lung showed diffuse alveolar involvement. Lung biopsy confirmed haemosiderin-laden macrophages. Child was put on steroids and despite severe anaemia (Hb 3.2 g/dl), he showed improvement and survived. To our knowledge, this is the first case of idiopathic pulmonary haemosiderosis reported from Pakistan.
authors.affiliation: Department of Paediatrics, Aga Khan Secondary Hospital, Karimabad. noureen.afzal@aku.edu
authors.forename: Noureen
authors.initials: N
authors.lastname: Afzal
authors.forename: Ammara
authors.initials: A
authors.lastname: Mushtaq
authors.forename: Arshalooz
authors.initials: A
authors.lastname: Rahman
authors.forename: Sonia
authors.initials: S
authors.lastname: Qureshi
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000175:diagnosis / Q000209:etiology*; D001706:Biopsy; D003937:Diagnosis, Differential; D006486:Hemosiderosis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D010154:Pakistan; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D000097545:Hemosiderosis, Pulmonary