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Review
. 2015 Apr;21(2):172-4.
doi: 10.12809/hkmj144237.

Unexplained childhood anaemia: idiopathic pulmonary hemosiderosis

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Free article
Review

Unexplained childhood anaemia: idiopathic pulmonary hemosiderosis

K K Siu et al. Hong Kong Med J. 2015 Apr.
Free article

Abstract

This report demonstrates pulmonary haemorrhage as a differential cause of anaemia. Idiopathic pulmonary hemosiderosis is a rare disease in children; it is classically described as a triad of haemoptysis, pulmonary infiltrates on chest radiograph, and iron-deficiency anaemia. However, anaemia may be the only presenting feature of idiopathic pulmonary hemosiderosis in children due to occult pulmonary haemorrhage. In addition, the serum ferritin is falsely high in idiopathic pulmonary hemosiderosis which increases the diagnostic difficulty. We recommend that pulmonary haemorrhage be suspected in any child presenting with iron-deficiency anaemia and persistent bilateral pulmonary infiltrates.

Keywords: Anemia; Child; Hemosiderosis.

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