Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea

A 24-year-old man with a history of bloody sputum for 6 months was referred to our hospital with suspected alveolar hemorrhaging due to vasculitis. Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhagi...

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Detalles Bibliográficos
Autores principales: Kuramoto, Kenya, Matsuyama, Masashi, Nonaka, Mizu, Takeishi, Takahiro, Oshima, Hisayuki, Matsumura, Sosuke, Nakajima, Masayuki, Sakai, Chio, Shiozawa, Toshihiro, Kiwamoto, Takumi, Tsukahara, Yuko, Takayashiki, Norio, Ogawa, Ryoko, Morishima, Yuko, Noguchi, Masayuki, Hizawa, Nobuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355386/
https://www.ncbi.nlm.nih.gov/pubmed/33612674
http://dx.doi.org/10.2169/internalmedicine.6206-20
Descripción
Sumario:A 24-year-old man with a history of bloody sputum for 6 months was referred to our hospital with suspected alveolar hemorrhaging due to vasculitis. Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhaging. However, no evidence of vasculitis was found, and subsequent polysomnographic testing confirmed that he had severe obstructive sleep apnea (OSA). Since the alveolar hemorrhaging improved after the initiation of continuous positive airway pressure treatment, the diagnosis was negative-pressure alveolar hemorrhaging due to severe OSA.

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