title: Idiopathic Pulmonary Hemosiderosis With Allergic Asthma Diagnosis in a Pediatric Patient.
abstract: Idiopathic pulmonary hemosiderosis (IPH) is a rare disorder with unknown pathogenesis that usually presents in the first decade of life. As a result of diffuse alveolar hemorrhage, respiratory symptoms such as cough attacks, hemoptysis, dyspnea, and recurrent and refractory iron-deficiency anemia (IDA) are observed. We present an 8-year-old girl who was followed up with recurrent IDA and allergic asthma and later diagnosed with IPH. IPH was confirmed by the presence of hemosiderin-laden macrophages in bronchoalveolar lavage obtained by bronchoscopy and exclusion of the secondary causes of pulmonary hemosiderosis. Glucocorticoids and iron supplementation were started. Clinical and laboratory improvement was observed with therapy. Our case illustrates that refractory/recurrent IDA with any pulmonary symptoms may be the only presenting feature of IPH.
authors.affiliation: Departments of *Pediatrics †Pediatric Hematology ‡Pathology, Ankara University School of Medicine, Dikimevi, Ankara, Turkey.
authors.forename: İrem
authors.initials: İ
authors.lastname: Eldem
authors.forename: Talia
authors.initials: T
authors.lastname: İleri
authors.forename: Elif
authors.initials: E
authors.lastname: İnce
authors.forename: Fikret
authors.initials: F
authors.lastname: Asarcikli
authors.forename: Esra
authors.initials: E
authors.lastname: Pekpak
authors.forename: Hasan F
authors.initials: HF
authors.lastname: Çakmakli
authors.forename: Koray
authors.initials: K
authors.lastname: Ceyhan
authors.forename: Zümrüt
authors.initials: Z
authors.lastname: Uysal
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D001249:Asthma / Q000209:etiology*; D002648:Child; D005260:Female; D006486:Hemosiderosis / Q000150:complications* / Q000503:physiopathology*; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology*; D008171:Lung Diseases / Q000150:complications* / Q000503:physiopathology*; D000097545:Hemosiderosis, Pulmonary