Diffuse Alveolar Hemorrhage in a 39-year-old Woman: Unusual Initial Presentation of Microscopic Polyangiitis.
10.5090/kjtcs.2011.44.6.448
- Author:
Jae Jun KIM
1
;
Jae Kil PARK
;
Young Pil WANG
;
Hyung Joo PARK
;
Sook Whan SUNG
;
Do Yeon KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. jaekpark@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hemoptysis;
Lung;
Vascular disease
- MeSH:
Adult;
Biopsy;
Cough;
Dyspnea;
Female;
Hemoptysis;
Hemorrhage;
Humans;
Inflammation;
Lung;
Microscopic Polyangiitis;
Sputum;
Thoracic Surgery, Video-Assisted;
Thorax;
Vascular Diseases;
Vasculitis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2011;44(6):448-451
- CountryRepublic of Korea
- Language:English
-
Abstract:
Microscopic polyangiitis (MPA) is a necrotizing vasculitis involving the small vessels without granulomatous inflammation. Most MPA initially presents with renal involvement without pulmonary involvement. Isolated and initially presenting alveolar hemorrhage is very rare. The patient was a 39-year-old female with a progressive cough, dyspnea, and blood-tinged sputum for the previous 5 days. We determined that her condition was MPA though VATS lung biopsy and renal biopsy. After 2 months of steroid therapy, the chest lesions had improved. We report here a rare case of MPA with isolated and initial involvement of the lung with a review of the literature.
