title: A Case of Idiopathic Pulmonary Hemosiderosis Presenting With Signs and Symptoms Mimicking Hemolytic Anemia.
abstract: Idiopathic pulmonary hemosiderosis is primarily a disorder of childhood, which is characterized by hemoptysis, iron deficiency anemia, and diffuse parenchymal infiltrates on chest x-ray secondary to recurrent attacks of alveolar hemorrhage. It can be diagnosed by showing hemosiderin laden macrophages in bronchoalveolar lavage fluid after other specific causes of diffuse alveolar hemorrhage are definitely excluded. A 5-year-old male patient was admitted to our clinic with sudden-onset pallor during iron therapy given for anemia. While he was being investigated for clinical and laboratory signs mimicking hemolytic anemia, he developed cough and dyspnea. He had infiltrates on chest x-ray and scattered patchy infiltrates in both lungs on high-resolution computed tomography. Hemosiderin laden macrophages were identified in fasting gastric juice and bronchoalveolar lavage fluid. The patient was diagnosed with idiopathic pulmonary hemosiderosis and started corticosteroid therapy.
authors.affiliation: Departments of *Pediatric Allergy and Immunology †Pediatric Hematology and Oncology ‡Pediatric Cardiology §Pathology, Adana Teaching and Medical Research Center, Baskent University Faculty of Medicine, Adana, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Doğruel
authors.forename: Ayşe
authors.initials: A
authors.lastname: Erbay
authors.forename: Nalan
authors.initials: N
authors.lastname: Yazici
authors.forename: Alev
authors.initials: A
authors.lastname: Arslan
authors.forename: Bermal
authors.initials: B
authors.lastname: Hasbay Biçen
mesh_terms: D000743:Anemia, Hemolytic / Q000175:diagnosis; D018798:Anemia, Iron-Deficiency / Q000209:etiology; D001986:Bronchial Spasm / Q000150:complications / Q000188:drug therapy; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005750:Gastric Juice / Q000166:cytology; D006470:Hemorrhage / Q000150:complications; D006485:Hemosiderin / Q000032:analysis; D006486:Hemosiderosis / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016676:Macrophages, Alveolar / Q000737:chemistry; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery; D000097545:Hemosiderosis, Pulmonary
chemical_list: D006485:Hemosiderin; D011239:Prednisolone