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Ferrokinetic Studies in Idiopathic Pulmonary Hemosiderosis Using Linear Profile Scanning.

Richard L. DeGowin, M.D.; Leif B. Sorensen, M.D.; and Donald B. Charleston
Ann Intern Med. 1968;68(5):1185. doi:10.7326/0003-4819-68-5-1185_2
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Recent reports suggest that minor overt hemoptysis may accompany sequestration of large amounts of iron in the lung leading to hypochromic anemia in patients with idiopathic pulmonary hemosiderosis. Linear profile scanning was used to quantify intrapulmonary hemorrhage in such a patient, a 44-year-old menopausal housewife with dyspnea and hemoptysis. A diagnosis of idiopathic pulmonary hemosiderosis was confirmed by streaks of blood and hemosiderin-laden macrophages in the sputum, intense hemosiderosis in a lung biopsy specimen, iron deficiency anemia, and ephemeral pulmonary infiltrates on chest X ray. The patient was in remission during hospitalization. After discharge, hemoptysis and dyspnea recurred, and studies


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