Early diagnosis of idiopathic pulmonary hemosiderosis using gastric lavage

Hemosiderin‐laden macrophages in the bronchoalveolar lavage fluid of a 6‐year‐old girl

“…Moreover, another study 5 reported a large number of hemosiderin‐laden macrophages were also observed in the gastric lavage of an infant boy, which could lead to an early diagnosis of IPH. However, BALF is not easily obtained in patients of this age 5 .…”

“…Moreover, another study 5 reported a large number of hemosiderin‐laden macrophages were also observed in the gastric lavage of an infant boy, which could lead to an early diagnosis of IPH. However, BALF is not easily obtained in patients of this age 5 . Additionally, paediatric IPH cases may present with only iron deficiency anaemia and without pulmonary symptoms, 6 which further complicates the diagnosis of IPH.…”

“…However, BALF is not easily obtained in patients of this age. 5 Additionally, paediatric IPH cases may present with only iron deficiency anaemia and without pulmonary symptoms, 6 which further complicates the diagnosis of IPH. In this case, we highlight that, although no specific particles in macrophages were observed by using traditional Wright-Giemsa staining, further staining with ferric staining should be performed on BALF samples to avoid delays in establishing the diagnosis of IPH.…”