111 Diffuse Alveolar Hemorrhage

CASE 111


image Clinical Presentation


34-year-old man with recent sore throat, chills, and fever, subsequently developed hematuria, dysuria, cough, dyspnea, hemoptysis, and respiratory failure


image Radiologic Findings


AP chest radiograph (Fig. 111.1A) reveals diffuse bilateral air space opacities. Chest CT (lung window), coronal reformatted image (Fig. 111.1B), and axial images (Figs. 111.1C, 111.1D) reveal diffuse bilateral ground glass opacity and patchy areas of consolidation.


image Diagnosis


Diffuse Alveolar Hemorrhage; Goodpasture Syndrome



image


Fig. 111.1


image Differential Diagnosis


• Idiopathic Pulmonary Hemorrhage


• Other Diffuse Pulmonary Hemorrhage Syndromes


image Wegener Granulomatosis


image Henoch-Schonlein Purpura


image Microscopic Polyangiitis Pauci–Immune Glomerulonephritis


image Systemic Lupus Erythematosus


• Sequela of Drug Therapy


image Drug-Induced Coagulopathy


image Penicillamine; Nitrofurantoin; Amiodarone


• Crack Cocaine Abuse


• Environmental Exposures


image Paraquat (Zeneca Ag Products, Wilmington, DE)


image Pesticides


image Leather Conditioners


image Isocyanates


• Bone Marrow and Heart-Lung Transplantation


• Dieulafoy Disease (e.g., endobronchial vascular malformation)


image Discussion


Background

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10 Partial Anomalous Pulmonary Venous Return 69 Varicella-Zoster Pneumonia 134 Heroin-Induced Pulmonary Edema 105 Non-Specific Interstitial Pneumonia (NSIP) 107 Eosinophilic Pneumonia 80 Pulmonary Metastases

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Jan 14, 2016 | Posted by in RESPIRATORY IMAGING | Comments Off on 111 Diffuse Alveolar Hemorrhage

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