Recurrent alveolar hemorrhage: How do you treat that which you cannot see?

Publication date: Available online 8 September 2018Source: Respiratory Medicine Case ReportsAuthor(s): Jobin Philipose, A. Siddiqui Faraz, Jiyoung Wong, Shimshon Wiesel, Ziad Esper, E. Elsayegh DanyAbstractDiffuse alveolar hemorrhage (DAH) is a rare and life-threatening event which is characterized by bleeding into the alveolar spaces of the lung. Etiology of DAH can be broadly divided into immune and non-immune mediated disease. In the absence of infection or malignancy, an immunological workup is required to find the cause of alveolar bleed. Rarely, there is a failure to establish a definitive etiology in patients with DAH. In those scenarios, patients who do not respond to steroids, plasmapheresis should be considered as a rescue treatment to prevent catastrophic outcomes. Herein, we pr...

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