Article

Hemorragia alveolar difusa: causas y desenlaces en un instituto de tercer nivel

Reumatología clínica, ISSN 1699-258X, Vol. 6, Nº. 4, 2010, pags. 196-198 01/2010; DOI: 10.1016/j.reuma.2009.07.010
Source: OAI

ABSTRACT Objetivo Identificar las causas más frecuentes de hemorragia alveolar difusa (HAD) y conocer la evolución de los casos durante su hospitalización. Pacientes y método Revisión de expedientes con diagnóstico de HAD. Se clasificaron los diagnósticos de acuerdo con los criterios vigentes y se determinó la evolución. Resultados Se identificaron 17 casos de HAD, la principal causa fueron las vasculitis asociadas a ANCA (el 41% de los casos) seguida de las secundarias a drogas (el 18% de los casos). En un 35% no se logró identificar una etiología. Seis pacientes fallecieron (35%), el único factor asociado a mortalidad fue el sexo masculino (5/6 vs. 3/11; p=0,05). Conclusiones La causa más frecuente de hemorragia alveolar son las vasculitis asociadas a ANCA, la mortalidad de la HAD es del 35% y los hombres parecen tener peor pronóstico

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