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Haematology
Recurrent haemoptysis with anaemia in a 16 year old man
1 Department of Medicine, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India
2 Department of Intensive Care, Pt B D Sharma Post Graduate Institute of Medical Sciences
3 Department of Pathology, Pt B D Sharma Post Graduate Institute of Medical Sciences
Correspondence to:
Correspondence to:
Dr R Khanna
5E-48 B P, NIT Faridabad, Haryana, India, PIN-121001; rajan_med@yahoo.co.in
Accepted 22 November 2004
Answers on p e16
| The first 150 words of the full text of this article appear below. |
A 16 year old man presented with a 10 month history of recurrent haemoptysis, five to six episodes a day with 10–20 ml of clotted blood being coughed out mostly in the early morning hours. Subsequently, he developed generalised weakness, easy fatigability, and breathlessness on exertion with palpitations. He had received antitubercular treatment for four months before admission with no improvement. There was no history of chest pain, fever, audible wheeze, cardiovascular disease, bleeding tendencies, arthritis/arthralgia, or haematemesis. However, malena was present, coinciding with the bouts of haemoptysis. There was no history of allergy to milk or cereals.
Family history and medical history were non-contributory.
Investigations showed haemoglobin count of 30 g/l (a reading taken one month previously was 90 g/l), with normal leucocyte and platelet count. A peripheral blood smear showed dimorphism with predominantly hypochromic appearance. Bleeding time and clotting time were normal. Liver and renal function tests
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Recurrent haemoptysis with anaemia in a 16 year old man
Postgrad. Med. J. 2005 81: e16.[Extract] [Full Text] [PDF]
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