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
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