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
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.
Alveolar hemorrhage Drug-induced lung disease Detergent
Received 9 Jun 2011 / Accepted 29 Sep 2011
AJRS, 1(1): 62-66, 2012