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Pulmonary Manifestations of Systemic Disease: Systemic Disease |

Unusual Presentation of Diffuse Alveolar Hemorrhage (DAH) in Chronic Mitral Regurgitation

Khushboo Chokshi, MD; Rosa Arancibia, MD; James Mahoney, MD; Padmanabhan Krishnan, MB
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Downstate Medical Center, New Hyde Park, NY


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


Chest. 2016;149(4_S):A473. doi:10.1016/j.chest.2016.02.492
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SESSION TITLE: Systemic Disease

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, April 17, 2016 at 11:45 AM - 12:45 PM

INTRODUCTION: Diffuse alveolar hemorrhage (DAH) is characterized by widespread bleeding into the alveoli due to microvascular injury1. Most patients present with bilateral involvement, unilateral involvement is usually rare. There are several disease processes associated with DAH one of which is severe mitral regurgitation 2, 3. DAH and pulmonary edema secondary to MR have a Right upper lobe predilection. Diffuse alveolar hemorrhage is diagnosed by sequential bronchoalveolar lavage revealing increasing hemorrhagic lavage returns2.

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