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Diffuse alveolar haemorrhage in the setting of eosinophilic pneumonia
  1. Adam T Ladzinski1,
  2. Aditya Mehta1,
  3. Brian J Dykstra2 and
  4. Sarah M Sharghi3
  1. 1Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
  2. 2Pulmonary and Critical Care Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
  3. 3Pathology, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
  1. Correspondence to Dr Aditya Mehta; adimehta1009{at}gmail.com

Abstract

A 65-year-old woman who presented with a constellation of symptoms, including cough with haemoptysis, fever, chills and hypoxia along with weight loss, was found to have diffuse alveolar haemorrhage. After a myriad of investigations returned normal, an open lung biopsy was performed, which revealed the diagnosis to be subacute eosinophilic pneumonia. This is one of its kind of rare presentations where eosinophilic pneumonia presents as diffuse alveolar haemorrhage and has been reported only five times prior to this.

  • pneumonia (respiratory medicine)
  • respiratory medicine
  • pathology

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Footnotes

  • Contributors ATL, AM and BJD were involved in the diagnosis and management of the patient while inpatient. ATL and AM wrote the initial draft which was proofread and approved by BJD and SMS. SMS was involved in the pathological diagnosis and image acquisition. BJD saw the patient at the 6-month follow-up. Consent was obtained by ATL. The final manuscript was agreed upon by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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