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Case Reports
. 2023 Dec 19;2023(12):omad091.
doi: 10.1093/omcr/omad091. eCollection 2023 Dec.

Panacinar emphysema complicating idiopathic pulmonary hemosiderosis: a case report

Talha Saleem  1 , Mohammed J Al-Jaghbeer  1 , Andrea V Arrossi Valeria  2 , Atul C Mehta  1
Affiliations
Case Reports

Panacinar emphysema complicating idiopathic pulmonary hemosiderosis: a case report

Talha Saleem et al. Oxf Med Case Reports. .

Abstract

Idiopathic pulmonary hemosiderosis (IPH) is a rare entity with no known underlying etiology. It can be complicated by lung fibrosis. Emphysema is rarely reported as a consequence of IPH. We present a case of a 30-year-old female who presented with recurrent hemoptysis and shortness of breath. Radiographs revealed advanced emphysematous changes of the lower lobes. The diagnosis of IPH was established with an open lung biopsy. She was treated with systemic steroids, underwent bullectomy and was subsequently maintained on inhaled steroids.

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Conflict of interest statement

No conflicts of interest.

Figures

Figure 1
Figure 1
PA chest X-ray.
Figure 2
Figure 2
Coronal and axial sections of the chest CT.
Figure 3
Figure 3
Emphysematous changes. Numerous alveolar hemosiderin-laden macrophages and calcium encrustation of the vascular walls.
Figure 4
Figure 4
Quantitative chest CT scan—parametric response mapping.
See this image and copyright information in PMC

References

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