Acute idiopathic pulmonary hemorrhage in infants. Report of two cases and literature review

Acute idiopathic pulmonary hemorrhage is a rare life-threatening disease in children. The classic triad includes hemoptysis, anemia and respiratory distress. Since clinical presentation may vary, diagnosis can be difficult. Severe respiratory distress, and ventilatory failure requiring mechanical ve...

Full description

Autores:
Bastidas - Jacanamijoy, Alexandra
García - Silva, Delia Carolina
Barrios - Méndez, Juan Carlos
Roa, Juan David
Vásquez, Pablo
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Fundación Universitaria de Ciencias de la Salud - FUCS
Repositorio:
Repositorio Digital Institucional ReDi
Idioma:
eng
spa
OAI Identifier:
oai:repositorio.fucsalud.edu.co:001/1399
Acceso en línea:
https://repositorio.fucsalud.edu.co/handle/001/1399
Palabra clave:
Hemosiderosis
Enfermedades pulmonares
Lactante
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
Description
Summary:Acute idiopathic pulmonary hemorrhage is a rare life-threatening disease in children. The classic triad includes hemoptysis, anemia and respiratory distress. Since clinical presentation may vary, diagnosis can be difficult. Severe respiratory distress, and ventilatory failure requiring mechanical ventilation are often present. Chest X-rays usually show unilateral or bilateral infiltrates, therefore, other causes of pulmonary hemorrhage must be excluded, since most of them correspond to systemic diseases. Treatment often requires intravenous steroids to solve the respiratory failure in most cases. We present two cases involving infants treated at Hospital San José (a fourth level hospital in Bogotá, Colombia) with acute idiopathic pulmonary hemorrhage which required mechanical ventilation and responded to intravenous steroids. A literature review was conducted with special emphasis on clinical presentation, diagnosis and therapeutic approaches.