Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Diffuse Alveolar Hemorrhage Complicated by HELLP (Hemolysis, Elevated Liver Enzymes, and Low Platelets) Syndrome

HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome에 합병된 미만성 폐포출혈 1예

  • Jeong, Woo Jin (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine) ;
  • Huh, Jin Won (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine) ;
  • Yu, Mi Hyun (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine) ;
  • Choi, Young Jun (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine) ;
  • Jeon, Min Hyok (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine) ;
  • Sim, Jae Yun (Department of Obstetrics and Gynecology, Asan Medical Center, Ulsan University College of Medicine) ;
  • Hong, Sang-Bum (Department of Internal Medicine, Division of Pulmonary & Critical Care Medicine, Asan Medical Center, Ulsan University College of Medicine)
  • 정우진 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 허진원 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 유미현 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 최영준 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 전민혁 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 심재윤 (울산대학교 의과대학 서울아산병원 산부인과학교실) ;
  • 홍상범 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Received : 2005.05.26
  • Accepted : 2005.08.26
  • Published : 2005.10.30
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Abstract

A diffuse alveolar hemorrhage (DAH) is a distinct form of pulmonary hemorrhage that originates from the pulmonary microcirculation. Disseminated intravascular coagulation (DIC) is one cause of DAH. Although HELLP syndrome associated with DIC can cause DAH, there are no published case reports that the authors are aware of. We report the case of a pregnant woman with HELLP syndrome who developed DAH. Because pregnant women with HELLP syndrome can develop DAH as a form of ARDS, a bronchoalveolar lavage may be used to make a differential diagnosis of this lung manifestation.

HELLP syndrome에서 여러 출혈 합병증이 보고 되었으나, 아직 미만성 폐포출혈에 대한 보고는 없었다. HELLP syndrome이 합병된 임신 36주 임산부에서 분만 후 혈담과 단순 흉부 방사선 촬영상 양측성폐침윤이 관찰되어 기관지폐포세척술을 통해서 미만성 폐포출혈을 진단 및 치료 후 호전된 예를 경험하였기에 문헌과 함께 보고하는 바이다.

Keywords

References

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