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Recent Advances in Chest Medicine |

Diffuse Alveolar Hemorrhage

Abigail R. Lara, MD; Marvin I. Schwarz, MD, FCCP
Author and Funding Information

From the Division of Pulmonary Sciences and Critical Care, University of Colorado Health Sciences Center, Denver, CO.

Correspondence to: Marvin I. Schwarz, MD, FCCP, University of Colorado Health Sciences Center, Division of Pulmonary Sciences and Critical Care, 4200 E 9th Ave, Box C272, Denver, CO 80262; e-mail: marvin.schwarz@ucdenver.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(5):1164-1171. doi:10.1378/chest.08-2084
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Diffuse alveolar hemorrhage (DAH) is often a catastrophic clinical syndrome causing respiratory failure. Recognition of DAH often requires BAL as symptoms are nonspecific, hemoptysis is absent in up to one-third of patients, and radiographic imaging is also nonspecific and similar to other acute alveolar filling processes. Once the diagnosis is established, the underlying cause must be established in order to initiate treatment. This review discusses the diagnosis of the underlying histologies and the clinical entities that are responsible for DAH as well as treatment options.

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