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Chest, Vol 81, 120-123, Copyright © 1982 by American College of Chest Physicians

ARTICLES

Idiopathic pulmonary hemorrhage. Ultrastructural and mineralogic study

CG Brambilla, EM Brambilla, P Stoebner and E Dechelette

A nine-year-old girl was hospitalized because of hypoxemia and anemia. Antibasement-membrane antibodies were present in the serum, but there was no renal involvement suggestive of Goodpasture's glomerulonephritis. Biopsy of the lung showed pulmonary hemosiderosis. In ultrastructural analysis, no lesion of the alveolar basement membrane or capillary endothelial cells was found; however, ferritin- looking deposits were present on alveolar basement membranes and the elastic lamina of arterioles and venules. Mineralogic studies showed these deposits to be made of iron and calcium (this latter element was probably precipitated on altered basement membranes or elastic lamina). Hemosiderin inclusions in the macrophages contained iron but no detectable calcium.


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O.C. Ioachimescu, S. Sieber, and A. Kotch
Idiopathic pulmonary haemosiderosis revisited
Eur. Respir. J., July 1, 2004; 24(1): 162 - 169.
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N. D. Rosenblum and R. B. Colvin
Case 16-1993- A 13-Year-Old Girl with Gross Hematuria Four Years after a Diagnosis of Idiopathic Pulmonary Hemosiderosis
N. Engl. J. Med., April 22, 1993; 328(16): 1183 - 1190.
[Full Text]


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