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Negative Pressure Pulmonary Hemorrhage*

David R. Schwartz, MD; Anjli Maroo, MD; Atul Malhotra, MD; Howard Kesselman, MD
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*From the Pulmonary and Critical Care Unit (Drs. Schwartz, Malhotra, and Kesselman) and Department of Medicine (Dr. Maroo), Massachusetts General Hospital, Boston, MA.

Correspondence to: David R. Schwartz, MD, Pulmonary and Critical Care Unit, Massachusetts General Hospital, 55 Fruit Street, Bulfinch-148, Boston, MA 02114-2696; e-mail: schwartz@massmed.org



Chest. 1999;115(4):1194-1197. doi:10.1378/chest.115.4.1194
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Negative pressure pulmonary edema, a well-recognized phenomenon, is the formation of pulmonary edema following an acute upper airway obstruction (UAO). To our knowledge, diffuse alveolar hemorrhage has not been reported previously as a complication of an UAO. We describe a case of negative pressure pulmonary hemorrhage, and we propose that its etiology is stress failure, the mechanical disruption of the alveolar-capillary membrane.

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