Idiopathic pulmonary haemosiderosis
No Thumbnail Available
Authors
Gupta, Latika
Semple, Thomas
Padley, Simon
Bossley, Cara J
Check for full-text access
Issue Date
2024
Type
Article
Language
Keywords
Alternative Title
Abstract
In this paper, we report the case of a boy in early childhood who presented with iron-deficiency anaemia, initially thought to be nutritional, who had a subsequent diagnosis of idiopathic pulmonary haemosiderosis (IPH). This is a slowly progressive and life-threatening disorder and is of paramount importance that this is identified early and treated appropriately. His first chest CT was not typical for IPH, and this appearance should be highlighted (small cystic changes alone initially). He also had focal disease, which allowed us to make the diagnosis using CT-guided biopsy. During his treatment, he experienced an uncommon side effect to a commonly prescribed medication (bradycardia with methylprednisolone). Since starting azathioprine as a steroid-sparing agent, he has been doing well.
Description
Citation
Publisher
License
Journal
BMJ Case Reports
Volume
17
Issue
6