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Unusual association of diseases/symptoms
Pulmonary extramedullary haematopoiesis
  1. Veenu Mubarak1,
  2. Stephen Fanning2,
  3. Morgon Windsor3,
  4. Edwina Duhig4,
  5. Simon Bowler1
  1. 1Thoracic Medicine Department, Mater Public Hospital, Brisbane, Queensland, Australia
  2. 2Haematology Department, Mater Private Hospital, Brisbane, Queensland, Australia
  3. 3Cardiothoracic Surgery Department, The Prince Charles Hospital, Brisbane, Queensland, Australia
  4. 4Pathology Department, The Prince Charles Hospital, Chermside, Brisbane, Australia
  1. Correspondence to Dr Veenu Mubarak, veenumubarak{at}yahoo.com

Summary

A 72-year-old Caucasian lady with myeloproliferative disorder was admitted for evaluation of progressive dyspnoea, weight loss, fatigue and mild hypoxia. A diffuse ground glass opacity was seen on CT pulmonary angiogram. Differential diagnoses included heart failure, infection, progression of myeloproliferative disorder with extramedullary haematopoiesis, thromboembolism or hydroxyurea-induced lung injury. Bronchoscopy and broncho-alveolar lavage were uninformative however lung biopsy with video-assisted thoracoscopy revealed extramedullary haematopoiesis within lung parenchyma. This is a very rare complication of myeloproliferative disorder and the authors discuss the significance of the case, review the literature and report the patient’s progress.

https://doi.org/10.1136/bcr.06.2011.4392

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.