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Primary pulmonary hemosiderosis – experiences from Banska Bystrica


Authors: I. Gondová 1,2;  B. Takáč 1;  E. Bubanská 3;  S. Dluholucký 1,4;  K. Králinský 1,4;  K. Novotná 5;  J. Koňarčík 6;  M. Ducár 6
Authors‘ workplace: II. Detská klinika SZU, DFNsP, Banská Bystrica, Slovensko 1;  Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, Bratislava, Slovensko 2;  Klinika pediatrickej onkológie a hematológie SZU a DFNsP, Banská Bystrica, Slovensko 3;  Fakulta zdravotníctva, Slovenská zdravotnícka univerzita, Banská Bystrica, Slovensko 4;  Oddelenie rádiológie FNsP FDR, Banská Bystrica, Slovensko 5;  Martinské bioptické centrum, s. r. o, Banská Bystrica, Slovensko 6
Published in: Čes-slov Pediat 2019; 74 (3): 176-181.
Category: Case Report

Overview

Idiopathic pulmonary hemosiderosis is rare inetersticial lung disease, the incidence is 6.3 children on million of childhood patients in Slovak Republic. It is chronic disease with period of relapse and remission. The ethiology is not clear, probably the immune system is dysfunctional, indicating the autoimmune origin of the disease. Diagnosis is based on combination of reccurent hemoptysis , anemia in laboratory samples, pulmonary infiltrates on chest X-ray. Due to late diagnosis and progression, the prognosis is not favorable.

Since the establishment of our hospital, there have been two cases of idiopathic pulmonary hemosiderosis. The first one in 2004, in treatment was used human recombinant erytropoetin. The second one ocuured
13 years later – in 2017.

In the next article approach the authors the two case studies. Has ist changed something in the view of hemosiderosis over the past period?

Keywords:

idiopathic pulmonary hemosiderosis – anemia


Sources

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2. Taytard J, Nathan N, de Blic J, et al. New insight into pediatric idiopathic pulmonary hemosiderosis. Orfanet journal of rare disease 2013; 8: 161.

3. Potalivo A, Finessi L, Facondini F, et al. Severe respiratory distress in a child with pulmonary idiopathic hemosiderosis initially presenting with iron-deficiency anemia. http://dx.doi.org/10.1155/2015/876904.

4. Koker S, Gözmen S, Oymak Y, et al. Idiopathic pulmonary hemosiderosis mimicking iron deficiency anemia: a delayed diagnosis? Hematology Reports 2017; 9: 7048.

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6. Šelest M, Herout V, Doležel L, et al. Kvalita diagnostiky a rozdelenie detí liečených v OLÚ s intersticiálnym pľúcnym ochorením. Slovenský Lekár 1997; 4: 30–32.

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8. Xu L, Ou R, Wu B, et al. Corticosteroid in combination with leflunomide and mesenchymal stem cells for treatment of pediatric idiopathic pulmonary hemosiderosis. Journal of Tropical Pediatrics 2017; 5: 389–394.

9. Gutierrez S, Shaw S, Huseni S, et al. Extracorporal life support for a 5-week-old infant with idiopathic pulmonary hemosiderois. Eur J Pediatr 2014; 12: 1573–1576.

10. Dluholucký S, Jakubička J, Králinský K. Humánny rekombinantný erytropoetín v liečbe idopatickej pľúcnej hemosiderózy. Lek Obz 2005; 6: 263–266.

11. Rosipal Š, Kapellerová A, Tamášová M. Prognóza idiopatickej pľúcnej hemosiderózy v detskom veku. Čes-slov Pediat 2005; 1: 14–18.

12. Eldem I, Íleri T, Ince F, et al. Idiopathic pulmonary hemosiderosis with allergic asthma diagnosis in a pediatric patient. J Pediatr Hematol Oncol 2015; 37: 7.

13. Šelest M, Doležel L, Herount V, et al. Fibrobronchoskopia, bronchoalveolárna laváž a transbronchiálna biopsia v diagnostike chorôb pľúcneho interstícia u detí. Čes-slov Pediat 2000; 4: 230–235.

14. Castellazi L, Patria M, Frati G, et al. Idiopathic pulmonary hemosiderosis in paediatric patients: how to make an early diagnosis. Ital J Pediatr 2016; 42: 86.

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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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