Korean J Thorac Cardiovasc Surg.  2011 Dec;44(6):448-451. 10.5090/kjtcs.2011.44.6.448.

Diffuse Alveolar Hemorrhage in a 39-year-old Woman: Unusual Initial Presentation of Microscopic Polyangiitis

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. jaekpark@catholic.ac.kr

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.

Keyword

Hemoptysis; Lung; Vascular disease

MeSH Terms

Adult
Biopsy
Cough
Dyspnea
Female
Hemoptysis
Hemorrhage
Humans
Inflammation
Lung
Microscopic Polyangiitis
Sputum
Thoracic Surgery, Video-Assisted
Thorax
Vascular Diseases
Vasculitis
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr