Chest
Selected ReportsPulmonary Capillaritis and Hemorrhage: A Clue to the Diagnosis of Systemic Necrotizing Vasculitis
Section snippets
CASE REPORT
A 72-year-old Portuguese woman was well until six months before her Stanford University Hospital admission when she noticed a unilateral hearing loss with malaise. Four months later, she was hospitalized at another facility with a fever, body ache, cough, right upper lobe infiltrate on chest x-ray film and hepatomegaly. The WBC was 21,000/cu mm; platelet count, 43,000; hemoglobin, 9 g/dl; and ESR, 95 mm/h. All blood, urine, and sputum cultures were negative. The patient's condition deteriorated
DISCUSSION
Pulmonary capillaritis and hemorrhage was first described in patients with hypersensitivity type reactions.1 Subsequently, it has been found to be associated with a variety of systemic vasculitides and collagen vascular diseases, particularly systemic lupus erythematosis.2, 3 It has been suggested that pulmonary capillaritis and hemorrhage in the appropriate setting might be useful in suggesting the diagnosis of a systemic necrotizing vasculitis.2, 4 Specific pathologic criteria have been noted
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Cited by (21)
Alveolar Hemorrhage and Rare Infiltrative Diseases
2015, Murray and Nadel's Textbook of Respiratory Medicine: Volume 1,2, Sixth EditionAlveolar hemorrhage
2013, Revue de Medecine InterneRole of bronchoscopy in massive hemoptysis
1999, Clinics in Chest MedicineAlveolar hemorrhage in patients with rheumatic disease
1997, Rheumatic Disease Clinics of North AmericaNormativa sobre el manejo de la hemoptisis amenazante
1997, Archivos de Bronconeumologia
Supported by training grant HL 07316 from the National Institutes of Health