Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 5 Issue 6

Idiopathic Pulmonary Hemorrhage in Saudi Girl Mimicking Iron Deficiency Anemia

Majed Alharbi1, Abdulrahman Alrshoudi2, Essa Alrashidi2* and Ahmed Al Enizi2

1College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia
2Department of Pediatric Pulmonary, King Saud Medical City, Kingdom of Saudi Arabia

*Corresponding Author: Essa Alrashidi, Department of Pediatric Pulmonary, King Saud Medical City, Kingdom of Saudi Arabia.

Received: April 11, 2022; Published: May 26, 2022

Abstract

We report an extremely rare case of a 7-years-old girl diagnosed with IPH at the age of 18 months successfully treated with azathioprine which, to the best of our knowledge, is the first case in Saudi Arabia.

The girl was found to have hemolytic anemia with diffuse fluffy bilateral shadows in chest x-ray in addition, hemosiderin-laden macrophages in the bronchial wash were positive. Workup for vasculitis, immune diseases, and connective tissue disorders were negative. The patient was started on Methylprednisolone and azathioprine which showed a notable effect in reducing the frequency and severity of the pulmonary hemorrhage in comparison to prednisolone alone.

This case was reported to highlight the importance of attention to detailed history in suspected cases and to demonstrate the need for IPH management in the pediatric age group as there is no standard management

Keywords: Idiopathic Pulmonary ; Hemorrhage ; Iron Deficiency Anemia

References

  1. Kamienska E., et al. “Idiopathic pulmonary hemosiderosis in a 9-year-old girl”. European Journal of Medical ResearchS4 (2009).
  2. Ioachimescu O., et al. “Idiopathic pulmonary haemosiderosis revisited”. European Respiratory Journal1 (2004): 162-169.
  3. Taytard J., et al. “New insights into pediatric idiopathic pulmonary hemosiderosis: the French RespiRare® cohort”. Orphanet Journal of Rare Diseases1 (2013).
  4. Susarla SC and Fan LL. “Diffuse alveolar hemorrhage syndromes in children”. Current Opinion in Pediatrics3 (2007): 314-320.
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  6. Sant`Anna CC., et al. “Hemossiderose pulmonar idiopática tratada com azatioprina: relato de caso em criança”. Jornal Brasileiro de Pneumologia6 (2007): 743-746.
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  8. Chin CI., et al. “A physician survey reveals differences in management of idiopathic pulmonary hemosiderosis”. Orphanet Journal of Rare Diseases1 (2015).

Citation

Citation: Essa Alrashidi.,et al. “Idiopathic Pulmonary Hemorrhage in Saudi Girl Mimicking Iron Deficiency Anemia”. Acta Scientific Paediatrics 5.6 (2022): 11-13.

Copyright

Copyright: © 2022 Essa Alrashidi.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

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