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Wegener's granulomatosis presenting as diffuse pulmonary hemorrhage

Intensive Care Medicine volume 17, pages 118–120 (1991)Cite this article

Abstract

A 35-year-old woman experienced diffuse intraalveolar haemorrhage with respiratory distress and acute renal failure. Renal histology and evolution confirmed Wegener's granulomatosis. Early use of immunosuppressive drugs allowed weaning from mechanical ventilation and temporary improvement of the renal failure. A review of the literature emphazises the rarity of alveolar hemorrhage as an initial symptom of Wegener's granulomatosis and the necessity of aggressive management.

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Author information

Author notes

  1. B. Misset

    Present address: Service de Réanimation Polyvalente, Hôpital Saint-Joseph, 7, rue P. Larousse, F-75014, Paris, France

Affiliations

  1. Service de Réanimation Médicochirurgicale, Hôpital Broussais, Paris, France

    B. Misset, B. Escudier, B. Leclercq & G. Nitenberg

  2. Service de Néphrologie, Hôpital Broussais, Paris, France

    D. Glotz

  3. Service d'Anatomie Pathologique, Hôpital Broussais, Paris, France

    D. Nochy

  4. Service d'Anatomie Pathologique, Institut G. Roussy, Villejuif, France

    J. Bosq

  5. Service d'Hématologie, Institut G. Roussy, Villejuif, France

    E. Gilles

Authors
  1. B. Misset
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  2. D. Glotz
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  3. B. Escudier
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  4. D. Nochy
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  5. J. Bosq
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  6. E. Gilles
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  7. B. Leclercq
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  8. G. Nitenberg
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Cite this article

Misset, B., Glotz, D., Escudier, B. et al. Wegener's granulomatosis presenting as diffuse pulmonary hemorrhage. Intensive Care Med 17, 118–120 (1991). https://doi.org/10.1007/BF01691435

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  • DOI: https://doi.org/10.1007/BF01691435

Key words

  • Wegener's granulomatosis
  • Alveolar haemorrhage