Diffuse alveolar hemorrhage: Causes and outcomes in are ferral center

被引:3
作者
Buendia-Roldan, Ivette [1 ]
Carmen, Navarro [1 ]
Rojas-Serrano, Jorge [1 ]
机构
[1] Univ Nacl Autonoma Mexico, Fac Med, Inst Nacl Enfermedades Respiratorias Dr Ismael, Mexico City, DF, Mexico
来源
REUMATOLOGIA CLINICA | 2010年 / 6卷 / 04期
关键词
Diffuse alveolar hemorrhage; Vasculitis associated with antibodies; anticitoplasm of neutrophils; Wegener's granulomatosis; Antibodies anticitoplasm of neutrophils; Microscopic polyangiitis;
D O I
10.1016/j.reuma.2009.07.010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE: To identify the most common causes of diffuse alveolar hemorrhage (DAH) and the evolution of cases during hospitalization. PATIENTS AND METHODS: A review of cases diagnosed with DAH; the diagnoses were classified according to existing criteria and the progression of the cases was determined. RESULTS: We identified 17 cases of DAH, with the leading cause being ANCA associated vasculitis (41% of cases), followed by cases secondary to drugs (18%). In 35% of the cases, there was a failure in identifying an etiology. Six patients died (35%), the only factor associated with mortality was male gender 5/6 vs 3/11, p=0.05. CONCLUSIONS: The most frequent cause of alveolar hemorrhage was ANCA associated vasculitis. The mortality in DAH is about 35%, males seem to have a worse prognosis. (C) 2009 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:196 / 198
页数:3
相关论文
共 12 条
[1]   Pulmonary-renal syndromes [J].
Brusselle, G. G. .
ACTA CLINICA BELGICA, 2007, 62 (02) :88-96
[2]   Diffuse alveolar hemorrhage [J].
Collard, HR ;
Schwarz, MI .
CLINICS IN CHEST MEDICINE, 2004, 25 (03) :583-+
[3]  
Cordier Jean-Francois, 2008, Rev Prat, V58, P492
[4]  
Franks T J, 2000, Curr Opin Pulm Med, V6, P430, DOI 10.1097/00063198-200009000-00008
[5]   Treatment of ANCA-associated vascularitides [J].
Guillevin, Loic ;
Pagnoux, Christian .
PRESSE MEDICALE, 2007, 36 (05) :922-927
[6]   Diffuse alveolar hemorrhage: Diagnosing it and finding the cause [J].
Ioachimescu, Octavian C. ;
Stoller, James K. .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 2008, 75 (04) :258-+
[7]  
Ozaki Shoichi, 2007, Allergol Int, V56, P87, DOI 10.2332/allergolint.R-07-141
[8]  
Pagnoux Christian, 2008, Rev Prat, V58, P522
[9]   Review of classification criteria for systemic lupus erythematosus [J].
Petri, M .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2005, 31 (02) :245-+
[10]  
Schreiber J, 2006, Pneumologie, V60, P347, DOI 10.1055/s-2006-932128