alexa Idiopathic Pulmonary Hemosiderosis: A Case Report with
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Idiopathic Pulmonary Hemosiderosis: A Case Report with Review of Related Literature

Gauri S Shah1*, Prince Parakh1, Shiva Chalise1, Kayur Mehta1 and Om P Mishra2
1Department of Pediatrics and Adolescent Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
2Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
Corresponding Author : Gauri S Shah
Head of the Department of Pediatrics and Adolescent Medicine
B.P. Koirala Institute of Health Sciences
Dharan, Nepal
Tel: +977-9842415770
Fax: +977-25528757
E-mail: [email protected]
Received July 06, 2012; Accepted August 21, 2012; Published August 23, 2012
Citation: Shah GS, Parakh P, Chalise S, Mehta K, Mishra OP (2012) Idiopathic Pulmonary Hemosiderosis: A Case Report with Review of Related Literature. J Clin Case Rep 2:185. doi:10.4172/2165-7920.1000185
Copyright: © 2012 Shah GS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Pulmonary hemosiderosis is an uncommon disorder in pediatric population in developing countries. It may affect the lung in an isolated form of Idiopathic Pulmonary Hemosiderosis (IPH) or as a manifestation of systemic disorders. The present patient belonging to Mongolian race presented with history of fever, cough, respiratory distress and previous episode of hemoptysis. The child had anemia, negative tuberculin test and no acid-fast bacilli in sputum and presence of bilateral pulmonary infiltrates in X-ray chest. Sputum examination showed iron-laden macrophages and no secondary cause could be ascertained. The patient responded well to prednisolone treatment alone. Idiopathic pulmonary hemosiderosis can be diagnosed based on the clinical features and sputum examination. Lung biopsy and high resolution CT thorax may not be undertaken in setting where facilities are not available.

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