Lane-Hamilton syndrome: case report and review of the literature
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We report a case of a three-and-a-half-year-old boy, who presented with poor general condition, stunted growth, had the presence of nail clubbing, persistent cough and frequent diarrhoea. Persistent iron deficiency anaemia without signs of haemolysis suggested Lane-Hamilton syndrome (LHS) which is or/is an extremely rare combination of idiopathic pulmonary haemosiderosis (IPH) and celiac disease (CD), although both diseases are immunologically mediated and the pathogenetic link between them is not clear. We have now 3 years of follow-up on gluten-free diet (GFD), resulting in a gradual recovery of the abnormal laboratory results in combination with an improving growth. Clinically, he is asymptomatic without any additional treatment. Our case illustrates that CD should be specifically looked for in patients with IPH, especially those in whom the severity of anaemia is disproportionate to the IPH symptoms. Both diseases may benefit from a GFD.
KeywordsCeliac disease Idiopathic pulmonary haemosiderosis Lane-Hamilton syndrome
Antineutrophil cytoplasm antibodies
Glomerular basement membrane antibodies
Idiopathic pulmonary haemosiderosis
We would like to thank Dr. Beyers Oosthuizen for the review of and comments on our manuscript.
Conflict of interest statement
All authors state that there is no conflict of interests.
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