Hemoptysis in a 20-year-old man with multiple pulmonary nodules

Article Abstract:

A 20-year-old man was admitted to a hospital because he had right-sided chest pain and was coughing up blood. A chest X-ray showed nodules in his lungs and bronchoscopy. He also had enlarged lymph nodes around his trachea, which is the medical term for the windpipe. When these lymph nodes were biopsied, the biopsy revealed that he had a type of lung cancer called epithelioid hemangioendothelioma. Although the patient was treated, he died 10 months after the diagnosis.

Hemangioendothelioma

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A seven-year-old girl with recurrent bouts of sore throat, dyspnea, and fever

Article Abstract:

A seven-year-old girl with a sore throat, difficulty breathing and fever was diagnosed with interstitial eosinophilic pneumonia. Eosinophilic pneumonia is a transient illness that can be caused by a variety of foreign agents. This was the patient's fourth bout of the illness in two years. X-rays showed patchy, dense areas in both of her lungs, and her condition progressed to hypoxia, which occurs when not enough oxygen reaches the tissues. She had a normal heart size, did not meet the diagnostic criteria for acute rheumatic fever and had no heart murmur or any other signs of congenital heart disease. Tests also ruled out the possibility of a bacterial infection. Her symptoms were consistent with both hypersensitivity pneumonitis and eosinophilic pneumonia, but tissue samples revealed an excess of eosinophils. The patient's spontaneous recovery and asthma-like symptoms, both associated with eosinophilic pneumonia, further substantiate the diagnosis.

Diagnosis, Pneumonia in children, Childhood pneumonia, Pulmonary eosinophilia, Pulmonary fibrosis

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A 62-year-old woman with progressive dyspnea and diffuse reticulonodular pulmonary infiltrates

Article Abstract:

A 62-year-old woman was admitted to a hospital for shortness of breath upon exertion and lung disease. Her shortness of breath had begun 6 years earlier and had gotten progressively worse. A chest X-ray revealed an enlarged heart and nodules in the lung that are characteristic of abnormal deposits of a protein called amyloid. A lung biopsy confirmed amyloid deposits in the walls of her arteries, veins and capillaries. Amyloid deposits in her heart may have caused her symptoms of heart disease. She was treated with melphalan and her symptoms improved, but she died 2 years later of a heart arrhythmia.

Amyloidosis, Lung diseases

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