Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A 45-Year-Old Man With Recurrent Dyspnea and Hemoptysis during Exercise: Exercise-Induced Pulmonary Hemorrhage/Edema

  • Kim, Dae Sung (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Lee, Minhyeok (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Kwon, Oh Jung (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Jeong, Inbeom (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Son, Ji Woong (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Na, Moon Jun (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital) ;
  • Kwon, Sun Jung (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Konyang University Hospital)
  • Received : 2015.04.22
  • Accepted : 2015.06.23
  • Published : 2015.10.30
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Abstract

A 45-year-old man presented with dyspnea and hemoptysis during exercise. A chest computed tomography (CT) revealed multifocal diffuse patchy ground glass opacity and interlobular septal thickening in both the lungs. Permeability pulmonary edema or pulmonary hemorrhage was suspected. Serologic studies for autoimmune disorders and vasculitis were negative. There was no laboratory evidence of coagulopathy, other hematopoietic disease or infectious disease. Considering correlation with exercise, we diagnosed exercise-induced pulmonary hemorrhage (EIPH) or exercise-induced pulmonary edema (EIPE). The patient was managed with antifibrinolytics, antibiotics, and antitussive agent. After a week, follow-up chest CT revealed completely resolved pulmonary hemorrhage. About 2 months after the first event, he visited again with dyspnea and hemoptysis during running. In the present study, we report a case of recurrent pulmonary hemorrhage after exercise.

Keywords

References

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