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Diffuse Alveolar Hemorrhage in a Case of Granulomatosis with Polyangiitis: A Case Report
K P Shaily1, Manosri Mandadi2, Somireddy Navothna3
1Assistant Professor, Department of Respiratory Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
Abstract:
Diffuse alveolar hemorrhage (DAH) is a life-threatening pulmonary condition characterized by widespread bleeding into the alveoli, leading to respiratory failure. It can result from various etiologies, including autoimmune disorders, drug reactions, and infections. Here is a rare case of a 37-year-old male who presented with progressive dyspnea, hemoptysis, and hypoxemia. Chest imaging and bronchoscopy confirmed the diagnosis of DAH, while laboratory tests revealed ANCA-associated vasculitis. On diagnosis, the patient with granulomatosis with polyangiitis was initiated on corticosteroids and cyclophosphamide. Early initiation of immunosuppressive therapy and supportive care plays a crucial role in disease management, reducing morbidity in such cases.