A 45-Year-Old Man With Recurrent Dyspnea and Hemoptysis during Exercise: Exercise-Induced Pulmonary Hemorrhage/Edema.
10.4046/trd.2015.78.4.375
- Author:
Dae Sung KIM
1
;
Minhyeok LEE
;
Oh Jung KWON
;
Inbeom JEONG
;
Ji Woong SON
;
Moon Jun NA
;
Sun Jung KWON
Author Information
1. Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital, Daejeon, Korea. sjoongkwon@hanmail.net
- Publication Type:Case Report
- Keywords:
Hemoptysis;
Dyspnea;
Hemorrhage
- MeSH:
Anti-Bacterial Agents;
Antifibrinolytic Agents;
Communicable Diseases;
Dyspnea*;
Follow-Up Studies;
Glass;
Hemoptysis*;
Hemorrhage;
Humans;
Lung;
Middle Aged*;
Permeability;
Pulmonary Edema;
Running;
Thorax;
Tomography, X-Ray Computed;
Vasculitis
- From:Tuberculosis and Respiratory Diseases
2015;78(4):375-379
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 45-year-old man presented with dyspnea and hemoptysis during exercise. A chest computed tomography (CT) revealed multifocal diffuse patchy ground glass opacity and interlobular septal thickening in both the lungs. Permeability pulmonary edema or pulmonary hemorrhage was suspected. Serologic studies for autoimmune disorders and vasculitis were negative. There was no laboratory evidence of coagulopathy, other hematopoietic disease or infectious disease. Considering correlation with exercise, we diagnosed exercise-induced pulmonary hemorrhage (EIPH) or exercise-induced pulmonary edema (EIPE). The patient was managed with antifibrinolytics, antibiotics, and antitussive agent. After a week, follow-up chest CT revealed completely resolved pulmonary hemorrhage. About 2 months after the first event, he visited again with dyspnea and hemoptysis during running. In the present study, we report a case of recurrent pulmonary hemorrhage after exercise.
