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Idiopathic pulmonary haemosiderosis
  1. Latika Gupta1,
  2. Thomas Semple2,
  3. Simon Padley2 and
  4. Cara J Bossley1
  1. 1Paediatric Respiratory, King's College Hospital NHS Foundation Trust, London, UK
  2. 2Paediatric Radiology, Royal Brompton Hospital, London, UK
  1. Correspondence to Dr Latika Gupta; l.gupta1{at}nhs.net

Abstract

In this paper, we report the case of a boy in early childhood who presented with iron-deficiency anaemia, initially thought to be nutritional, who had a subsequent diagnosis of idiopathic pulmonary haemosiderosis (IPH). This is a slowly progressive and life-threatening disorder and is of paramount importance that this is identified early and treated appropriately. His first chest CT was not typical for IPH, and this appearance should be highlighted (small cystic changes alone initially). He also had focal disease, which allowed us to make the diagnosis using CT-guided biopsy. During his treatment, he experienced an uncommon side effect to a commonly prescribed medication (bradycardia with methylprednisolone). Since starting azathioprine as a steroid-sparing agent, he has been doing well.

  • Interstitial lung disease
  • Radiology

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Footnotes

  • X @LatikaGupta15

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: LG, CJB, TS and SP. The following authors gave final approval of the manuscript: LG and CJB.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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