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  • Title: Idiopathic pulmonary hemosiderosis: a rare cause of iron-deficiency anemia in childhood.
    Author: Poggi V, Lo Vecchio A, Menna F, Menna G.
    Journal: J Pediatr Hematol Oncol; 2011 May; 33(4):e160-2. PubMed ID: 21516015.
    Abstract:
    Idiopathic pulmonary hemosiderosis is a chronic, rare disorder confined to the lung, which is commonly characterized by the triad of recurrent hemoptysis, diffuse parenchyma infiltrates on chest radiography, and iron-deficiency anemia. Diagnosis may be difficult and the clinical course may be widely variable. Here, we describe an 8-year-old boy whose isolated symptom on presentation was iron-deficiency anemia. Presence of hemoptysis and bilateral alveolar infiltrates on chest x-ray led to the diagnosis of pulmonary hemosiderosis, subsequently confirmed by the finding of hemosiderin-laden macrophages by bronchoalveolar lavage. The patient was started on prednisolone 2 mg/kg/d and no further bleeding episodes were noted after the onset of therapy.
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