ABSTRACT
We report a very, rare case of idiopathic pulmonary haemosiderosis (IPH) occurring in a 68 yr old patient. Following alveolar haemorrhage onset, the diagnosis was obtained by a process of elimination, after clinical, endoscopic, cytohistological and laboratory investigations. The immunoglobulin G directed against myeloperoxidase antigen (C-ANCA), which was detected, can be regarded as indicative of an occult vasculitis to be followed up. Current therapy and perspectives for idiopathic pulmonary haemosiderosis patients are discussed herein.
Subject(s)
Hemosiderosis/diagnosis , Lung Diseases/diagnosis , Aged , Anti-Bacterial Agents/administration & dosage , Bronchoalveolar Lavage Fluid/chemistry , Bronchoscopy , Hemoptysis/diagnosis , Hemoptysis/etiology , Hemosiderosis/complications , Hemosiderosis/drug therapy , Humans , Lung Diseases/complications , Lung Diseases/drug therapy , Male , Photomicrography , Tomography, X-Ray Computed , Tranexamic Acid/administration & dosage , Treatment OutcomeABSTRACT
The frequency of alithiasic cholecystitis is considered and the various forms are subdivided into diffuse and localized dyskinesia. Symptomatology is described and the former are indicated as being electively medical and the latter surgical forms whether the condition is congenital or acquired. The various forms of cholecystosis are also distinguished with full documentation. Symptomatological techniques and diagnostic conclusions are illustrated for all forms and personal experience with their therapy reported.