Pulmonary hemosiderosis secondary to mitral stenosis: a case report

BackgroundPulmonary hemosiderosis is a rare disease that may be idiopathic or have a secondary etiology, such as mitral stenosis. The disease is a clinical and functional consequence of iron overload in the lungs in the form of hemosiderin. The diagnosis should be considered in patients with miliary...

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Bibliographic Details
Published in:Surgical and experimental pathology 2023-03, Vol.6 (1), p.1-4, Article 5
Main Authors: Laudelino, Jadson Soares, Aguiar, Fernando Moreira Batista, Martins, Filadélfia Passos Rodrigues, de Oliveira, Rosineli Leopoldino, Cruz, Glauberto Rolim Cartaxo Bezerra, Ramos, Aline Lobo
Format: Article
Language:English
Subjects:
Anemia
Antibiotics
Biopsy
Blood clots
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Case reports
Connective tissue
Dyspnea
Etiology
Heart
Hemoglobin
Hemoptysis
Hemosiderosis
Hypertension
Iron
Lavage
Miliary tuberculosis
Mitral valve stenosis
Patients
Pneumonia
Pulmonary arteries
Radiography
Sarcoidosis
Systemic diseases
Tomography
Tuberculosis
Veins & arteries
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Summary:BackgroundPulmonary hemosiderosis is a rare disease that may be idiopathic or have a secondary etiology, such as mitral stenosis. The disease is a clinical and functional consequence of iron overload in the lungs in the form of hemosiderin. The diagnosis should be considered in patients with miliary nodules on chest tomography.Case presentationWe report a case of a 30-year-old man with severe mitral stenosis who presented with chest pain and dyspnea. High-resolution chest tomography showed bilateral centrilobular micronodules. The diagnosis of pulmonary hemosiderosis secondary to mitral stenosis was suggested by transbronchial biopsy.ConclusionThe diagnosis of idiopathic pulmonary hemosiderosis requires the exclusion of other etiologies of alveolar hemorrhage, including infections and vasculitis. One possible etiology is mitral stenosis.
ISSN:2520-8454
2520-8454
DOI:10.1186/s42047-023-00131-3