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- Title
Sevofluran'a Bağli İzole Pulmoner Vaskülit: Yaygın Pulmoner Hemorajinin Yeni bir Nedeni mi?
- Authors
Turhan, Ufuk; Aydoğan, Mehmet; Kılıç, Erol; Kaya, Hatice; Gündoğan, Alper; Karslıoğlu, Yıldırım; Uçar, Ergün; Bilgiç, Hayati
- Abstract
Pulmonary capillaritis is the small-vessel vasculitis of the lungs. We report a case of isolated pulmonary capillaritis presenting with diffuse alveolar hemorrhage, which is not associated with ANCA. The patient had shortness of breath that developed after myomectomy surgery: sevoflurane was used as a general anesthetic in the operation. The thorax HRCT scans showed ground glass opacities in both lungs and consolidation in the right lower lobe. Due to hemorrhagic and darkening of the BAL fluid as aspirated, it was thought that the diagnosis was in accordance with alveolar hemorrhage. The patient responded well to methylprednisolone therapy. The transbronchial lung biopsies revealed vasculitis. ANCA and other rheumatologic markers were negative. Due to the absence of systemic symptoms, we diagnosed ANCA negative isolated pulmonary capillaritis. Rapid diagnosis and pulse steroid therapy are of vital importance in these patients. It should be kept in mind that inhalation anesthetics could be responsible for cases of DAH and SPC.
- Publication
Respiratory Case Reports, 2016, Vol 5, Issue 1, p43
- ISSN
2147-2475
- Publication type
Article
- DOI
10.5505/respircase.2016.86658