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Pulmonary Manifestations of Systemic Disease: Pulmonary Manifestations of Systemic Disease |

A Rare Case of Focal Alveolar Hemorrhage With Microscopic Polyangiitis

Van Derick Mangulabnan, MD; Ching-Fei Chang, MD
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University of Southern California, Keck School of Medicine, Los Angeles, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A457. doi:10.1016/j.chest.2016.02.476
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SESSION TITLE: Pulmonary Manifestations of Systemic Disease

SESSION TYPE: Case Report Slide

PRESENTED ON: Saturday, April 16, 2016 at 09:45 AM - 11:15 AM

INTRODUCTION: Classic diffuse alveolar hemorrhage (DAH) is usually suspected in a patient with known autoimmune disease who presents with severe hypoxemia and bilateral pulmonary infiltrates, with or without frank hemoptysis. It is rarely considered in a previously healthy patient who suddenly presents with hemoptysis and a focal infiltrate. We present an unusual case of a patient who sought medical attention after six days of coughing up blood and was found to have DAH secondary to microscopic polyangiitis, despite having only a unilateral infiltrate on chest imaging.

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