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

Ali Alsuheel Asseri, Yi Zeng, Cori L. Daines

Research output: Contribution to journalArticlepeer-review

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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