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Abstract

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Article in Japanese

Case Report

A case of detergent-induced alveolar hemorrhage

Hidefumi Koha  Koichi Sayamab  Keiichi Matsuzakia  Masaki Miyazakib  Akihiko Sudoha  Atsushi Chiyotania  Atsushi Tajimac  Makio Mukaid 

aDivision of Pulmonary Medicine, Department of Internal Medicine, Saiseikai Utsunomiya Hospital
bDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine
cDepartment of General Thoracic Surgery, Saiseikai Utsunomiya Hospital
dDepartment of Pathology, Keio University School of Medicine

ABSTRACT

A 58-year-old man used spray-type detergent in his bathroom for 3 h and developed bloody sputum the next day. He visited the emergency department of a hospital. A physical examination and an esophagogastroduodenoscopy were performed, but there was no evidence of abnormalities. He referred to our hospital 1 week after the symptom appeared. A chest X-ray and a CT scan revealed diffuse ground-glass opacities in the bilateral lung fields. Bronchoalveolar lavage fluid showed fresh bloodlike fluid containing hemosiderin-laden macrophages. We succeeded in diagnosing his illness as detergent-induced alveolar hemorrhage. Although a variety of diseases are associated with alveolar hemorrhage, this disease sometimes advances rapidly, and the prognosis tends to be very poor. In our case, the patient recovered without steroids and remained symptom-free after discharge. In conclusion, we encountered a rare case of alveolar hemorrhage induced by detergent.

KEYWORDS

Alveolar hemorrhage  Drug-induced lung disease  Detergent 

Received 9 Jun 2011 / Accepted 29 Sep 2011

AJRS, 1(1): 62-66, 2012

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