Neonatal pulmonary hemosiderosis.
Idiopathic pulmonary hemosiderosis (IPH) is a rare complex entity characterized clinically by acute or recurrent episodes of hemoptysis secondary to diffuse alveolar hemorrhage. The radiographic features are variable, including diffuse alveolar-type infiltrates, and interstitial reticular and micronodular patterns. We describe a 3-week-old infant presenting with hemoptysis and moderate respiratory distress. Idiopathic pulmonary hemosiderosis was the first working diagnosis at the Emergency Department and was confirmed, 2 weeks later, by histological studies (bronchoalveolar lavage). The immunosuppressive therapy by 1 mg/kg/d prednisone was immediately started, the baby returned home on steroid therapy at a dose of 0,5 mg/kg/d. The diagnosis of idiopathic pulmonary hemosiderosis should be evocated at any age, even in the neonate, when the clinical presentation (hemoptysis and abnormal radiological chest images) is strongly suggestive.
Department of Pediatrics, General Hospital Citadelle, Boulevard du 12 ème de Ligne 1, 4000 Liège, Belgium.
Boris
B
Limme
Department of Pediatrics, General Hospital Citadelle, Boulevard du 12 ème de Ligne 1, 4000 Liège, Belgium.
Ramona
R
Nicolescu
Department of Pediatrics, General Hospital Citadelle, Boulevard du 12 ème de Ligne 1, 4000 Liège, Belgium ; Université de Liège, Place du 20 Août 7, 4000 Liège, Belgium.
Jean-Paul
JP
Misson