Acute pulmonary embolism in a child with ANCA-negative idiopathic pulmonary capillaritis

Ali Alsuheel Asseri, Yi Zeng, Cori L. Daines

Research output: Contribution to journalArticle

Abstract

Diffuse 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.

Original languageEnglish (US)
Pages (from-to)610-613
Number of pages4
JournalSaudi Medical Journal
Volume40
Issue number6
DOIs
StatePublished - Jun 2019

ASJC Scopus subject areas

  • Medicine(all)

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