Saleem T, Al-Jaghbeer MJ, Arrossi Valeria AV, Mehta AC. Panacinar emphysema complicating idiopathic pulmonary hemosiderosis: a case report.
Oxf Med Case Reports 2023;
2023:omad091. [PMID:
38145263 PMCID:
PMC10735625 DOI:
10.1093/omcr/omad091]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 06/14/2023] [Accepted: 06/18/2023] [Indexed: 12/26/2023] Open
Abstract
Idiopathic pulmonary hemosiderosis (IPH) is a rare entity with no known underlying etiology. It can be complicated by lung fibrosis. Emphysema is rarely reported as a consequence of IPH. We present a case of a 30-year-old female who presented with recurrent hemoptysis and shortness of breath. Radiographs revealed advanced emphysematous changes of the lower lobes. The diagnosis of IPH was established with an open lung biopsy. She was treated with systemic steroids, underwent bullectomy and was subsequently maintained on inhaled steroids.
Collapse