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[Idiopathic pulmonary hemosiderosis in the adult: a case report]
D Feder1, M S Figueiredo, G P da Silva
1Médico do Ambulatório Geral da Escola Paulista de Medicina (EPM).
Abstract:
The case of idiopathic pulmonary hemosiderosis in a 20 year old male is presented. Iron deficiency anemia, recurrent hemoptysis and micronodular infiltrate in lower lung areas were the most important signs observed. The transbronchial biopsy showed alveolar and interstitial hemorrhage and hemosiderin in the pulmonary macrophages. Treatment was started with prednisone, but the addition of immunosuppressive drugs (cyclophosphamide) was needed, followed by a clinical remission.