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16 Yaşındaki Hastada Hemoptizinin Nadir Bir Nedeni: İdiyopatik Pulmoner Hemosideroz

Year 2014, Volume: 8 Issue: 2, 96 - 100, 01.08.2014

Abstract

Hemoptizi; trakeobronşiyal ağaç ya da akciğer parankiminden kaynaklanan kanamanın ekspektorasyonudur. Kardiak, pulmoner, hematolojik, enfeksiyoz nedenler, bazı sistemik hastalıklar ve idiyopatik pulmoner hemosideroz hemoptiziye yol açabilir. İdiyopatik pulmoner hemosiderozis; akciğerlerde anormal hemosiderin depolanmasıyla giden, difüz alveolar hemorajiye bağlı hemoptizi yapan nadir bir pulmoner hastalıktır. İdiyopatik pulmoner hemosiderozis genellikle on yaş altında, yaygın olarak da 1-7 yaşta görülür. Çocukluk çağında cinsiyet dağılımı eşit iken, erişkin dönemde erkeklerde daha sık görülmektedir. Tanısı fiberoptik bronkoskopi ile alınan bronkoalveoler lavaj sıvısında hemosiderin yüklü makrofajların görülmesiyle ve intrapulmoner, ekstrapulmoner kanama yapabilen nedenler ekarte edilerek konulur.Burada, hemoptizi ile gelen ve İdiyopatik pulmoner hemosiderozis tanısı alan kız olguyu, hastalığın nadir görülmesi nedeniyle tekrar hatırlatmak ve ilk kez adölesan dönemde bulgu vermesini vurgulamak amacıyla sunduk. Çocukluk ve adelosan dönemde solunumsal semptomlar, özellikle de hemoptizi ile başvuran; göğüs görüntülemede yamalı, yaygın buzlu cam görünümü saptanan olgularda, ayırıcı tanıda İdiyopatik pulmoner hemosiderozis yer almalıdır.

References

  • Godfrey S. Pulmonary hemorrhage/hemoptysis in children. Pediatr Pulmonol 2004;37:476-84.
  • Ioachimescu OC, Sieber S, Kotch A. Idiopathic pulmonary haemosiderosis revisited. Eur Respir J 2004;24:162-70.
  • Kabra SK, Bhargava S, Lodha R, Satyavani A, Walia M. Idiopathic pulmonary hemosiderosis: Clinical features and follow up of 26 children. Indian Pediatrics 2007;44:333-8.
  • Chen KC, Hsiao CC, Huang SC, Ko SF, Niu CK. Anemia as the sole presenting symptom of idiopathic pulmonary hemosiderosis: Report of two cases. Chang Gung Med J 2004;27:824-8.
  • Kamienska E, Urasinski T, Gawlikowska-Stroka A, Glura B, Pogorzelski A. Idiopathic pulmonary hemosiderosis in a 9 year-old girl. Eur J Med Res 2009;14:112-5.
  • Ibrahem R, Arasaretnam A, Ordidge K, Vedelago J, Toy R. Case report of idiopathic pulmonary haemosiderosis in a child with recurrent chest infections. J Radiol Case Rep 2011;5:30-5.
  • Ferrari GF, Fioretto JR, Alves AF, Brandão GS. Idiopathic pulmonary hemosiderosis: A case report. J Pediatr 2000;76:149-52.
  • Soergel K, Sommers SC. Idiopathic pulmonary hemosiderosis and related syndromes. Am J Med 1962; 32:499-511.
  • Chryssanthopoulos C, Cassimos C, Panagiotidou C. Prognostic criteria in idiopathic pulmonary hemosiderosis in children. Eur J Pediatr 1983;140:123-5.

A Rare Cause of Hemoptysis in a 16-Year-Old Patient: Idiopathic Pulmonary Hemosiderosis

Year 2014, Volume: 8 Issue: 2, 96 - 100, 01.08.2014

Abstract

Hemoptysis is the expectoration of the hemorrhage originating from the tracheobronchial tree or lung parenchyma. Cardiac, pulmonary, hemoatological pathologies, infectious or systemic diseases and idiopathic pulmonary hemosiderosis can cause hemoptysis. Idiopathic pulmonary hemosiderosis is a rare cause of diffuse alveolar hemorrhage in children that results in abnormal hemosiderin deposition in the lung parenchyma. It is generally seen in children under 10 and most commonly between 1 and 7 years. While gender distribution is even in childhood, it is more frequently seen in males in adulthood. Diagnosis is confirmed by identification of hemosiderin-laden macrophages in broncho-alveolar lavage and ruling out other causes of intra- and extrapulmonary hemorrhage. Here we present a rare case of IPH that became symptomatic in adolescence. IPH should be considered in the differential diagnosis of patients who present with respiratory symptoms and particularly hemoptysis in childhood and adolescence with positive chest imaging findings

References

  • Godfrey S. Pulmonary hemorrhage/hemoptysis in children. Pediatr Pulmonol 2004;37:476-84.
  • Ioachimescu OC, Sieber S, Kotch A. Idiopathic pulmonary haemosiderosis revisited. Eur Respir J 2004;24:162-70.
  • Kabra SK, Bhargava S, Lodha R, Satyavani A, Walia M. Idiopathic pulmonary hemosiderosis: Clinical features and follow up of 26 children. Indian Pediatrics 2007;44:333-8.
  • Chen KC, Hsiao CC, Huang SC, Ko SF, Niu CK. Anemia as the sole presenting symptom of idiopathic pulmonary hemosiderosis: Report of two cases. Chang Gung Med J 2004;27:824-8.
  • Kamienska E, Urasinski T, Gawlikowska-Stroka A, Glura B, Pogorzelski A. Idiopathic pulmonary hemosiderosis in a 9 year-old girl. Eur J Med Res 2009;14:112-5.
  • Ibrahem R, Arasaretnam A, Ordidge K, Vedelago J, Toy R. Case report of idiopathic pulmonary haemosiderosis in a child with recurrent chest infections. J Radiol Case Rep 2011;5:30-5.
  • Ferrari GF, Fioretto JR, Alves AF, Brandão GS. Idiopathic pulmonary hemosiderosis: A case report. J Pediatr 2000;76:149-52.
  • Soergel K, Sommers SC. Idiopathic pulmonary hemosiderosis and related syndromes. Am J Med 1962; 32:499-511.
  • Chryssanthopoulos C, Cassimos C, Panagiotidou C. Prognostic criteria in idiopathic pulmonary hemosiderosis in children. Eur J Pediatr 1983;140:123-5.
There are 9 citations in total.

Details

Other ID JA68KB26EH
Journal Section Case Report
Authors

Pınar Şimşek This is me

Ayşe Seçil Ekşioğlu This is me

Güzin Cinel This is me

Melek Melahat Oğuz This is me

Saliha Şenel This is me

Publication Date August 1, 2014
Submission Date August 1, 2014
Published in Issue Year 2014 Volume: 8 Issue: 2

Cite

Vancouver Şimşek P, Ekşioğlu AS, Cinel G, Oğuz MM, Şenel S. A Rare Cause of Hemoptysis in a 16-Year-Old Patient: Idiopathic Pulmonary Hemosiderosis. Türkiye Çocuk Hast Derg. 2014;8(2):96-100.


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