Acute pulmonary embolism in a child with ANCA-negative Idiopathic Pulmonary Capillaritis
AffiliationUniv Arizona, Dept Pediat
MetadataShow full item record
PublisherSAUDI MED J
CitationAsseri, A. A., Zeng, Y., & Daines, C. L. (2019). Acute pulmonary embolism in a child with ANCA-negative Idiopathic Pulmonary Capillaritis. Saudi medical journal, 40(6), 610.
JournalSAUDI MEDICAL JOURNAL
Rights© The Author(s); CC BY-NC 4.0.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractDiffuse alveolar hemorrhage is an uncommon and often fatal condition in children that is characterized by distinct histopathological etiologies. Herein, we discuss the case of an 11-year-old girl who presented with acute worsening of hypoxia and left-sided chest pain. The patient had lung biopsy-proven idiopathic pulmonary capillaritis and was being treated with prednisolone every alternate day, azathioprine, and hydroxychloroquine. A contrast-computed tomography (CT) scan of the chest showed an acute left lower-lobe pulmonary embolism. Negative results were obtained on a test for thrombophilia. In children, pulmonary embolism with anti-neutrophil cytoplasmic antibody-negative idiopathic pulmonary capillaritis is a rare clinical condition. The exact cause of thrombus formation in this case is unknown; however, obesity, immobility, and chronic systemic corticosteroid therapy probably played a role.
NoteOpen access journal
VersionFinal published version