Catamenial Hemoptysis: A Case Report

A young woman presented with recurrent hemoptysis temporally associated with menstruation. Catamenial hemoptysis, an extremely uncommon disorder, is usually caused by the presence of ectopic endometrial tissue within the lung. The use of progesterone suppressed menstruation and hemoptysis during four months of treatment. Chest x-ray was normal

Hemoptysis Complicating Mitral Stenosis: Case report with attention to differential diagnosis and a review of the literature

The differential diagnosis of hemoptysis in patients with mitral stenosis includes many primary pulmonary problems besides those peculiar to mitral stenosis. We describe the case of a 40-year-old woman with a 40-pack-year smoking history whose presenting symptom of hemoptysis was wrongly ascribed to pulmonary embolus and infarction, based on a presumably positive angiogram, and to chronic bronchitis, based on endoscopic findings at fiberoptic bronchoscopy, as provided by the referring physician. The features differentiating between cardiac and primary pulmonary disease are described, and the pathophysiology of hemoptysis in mitral stenosis is reviewed. In a case like the one we describe, hemoptysis is an important manifestation of severe valvular stenosis, and surgical intervention, i.e., mitral commissurotomy or mitral valve replacement, should be considered

The Exclusion of Restrictive Lung Disease by Spirometric Criteria in Patients with a Reduced Forced Vital Capacity

Reductions in forced vital capacity (EVC) as determined by spirometry may result from restrictive or obstructive disease, either alone or in combination. Restrictive disease is implied when measures of forced expiratory flow are relatively maintained, and obstructive disease is present when flow measurements are disproportionately reduced. In the presence of air flow obstruction, the possibility of concomitant restrictive disease contributing to the reduction in FVC is difficult to assess from spirometry alone. Static lung volumes are usually necessary to establish this diagnosis. We evaluated the FEV1/EVC%o obtained at spirometry compared to its predicted normal value. We found it to be useful in eliminating the need for additional testing in many cases in which the question of mixed obstructive and restrictive disease had been raised. Specifically, in patients with obstructive disease and a reduced FVC, an FEV1/FVC% of less than 81%, of the age-, height-, and sex-matched predicted value largely excluded the possibility that concomitant restrictive disease was also present (p\u3c.05). Higher values had no predictive value

Disseminated Strongyloides Stercoralis and Aspergillus Fumigatus Presenting as Diffuse Interstitial Pneumonitis in a Steroid-Dependent Chronic Obstructive Pulmonary Disease Patient

We describe a patient with long-standing steroid-dependent chronic obstructive pulmonary disease who was admitted with new diffuse interstitial pulmonary infiltrates. Strongyloides stercoralis was present in the sputum and stool and responded to treatment. However, complicating disseminating Aspergillus fumigatus infection eventuated in the patient\u27s death. Strongyloides stercoralis infection should be considered in patients with relevant exposure history, and complicating fungal and gram-negative bacterial infections which such patients may develop should be suspected

Pulmonary Complications of AIDS: Henry Ford Hospital Experience Between January 1984 and July 1986

We have retrospectively reviewed our bronchoscopic experience in patients with suspected pulmonary complications of the acquired immunodeficiency syndrome (AIDS) or AIDS-related complex at Henry Ford Hospital between 1984 and 1986. The charts of 52 patients, representing a total of 87 bronchoscopic examinations, were available for review. The bronchoscopic findings as well as correlative chest roentgenograms and arterial blood gases are reviewed, and implications for therapy are discussed