Etiología de la hemoptisis: análisis prospectivo de 752 casos

Estarriol, M. Haro; Sánchez, M. Vizcaya; López, José Darío Sánchez; Molina, A. Tornero

doi:10.1016/s0014-2565(01)70953-8

Cited by 27 publications

(4 citation statements)

References 18 publications

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“…Llegados a este punto precisamos exploraciones complementarias, que aún siendo opcionales, deben solicitarse en función de la sospecha clínico-radiológica para padecer carcinoma broncogénico 3 . Para decidir en qué momento y cuál realizar utilizaremos los algoritmos presentados en las figuras 2 y 3.…”

Section: Estudio Complementario Del Paciente Con Hemoptisisunclassified

“…tas publicaciones dependiendo de la población estudiada y de las técnicas diagnósticas empleadas 2 . Bronquiectasias, tuberculosis y carcinoma broncogénico han sido durante los años comprendidos entre 1940 y 1961 las causas más frecuentes de hemoptisis (Tabla I) 3 .…”

Section: Introductionunclassified

“…No obstante, y a pesar de un amplio estudio del paciente, del 8 al 22% de los sangrados no tendrán confirmación diagnóstica de la causa, denominándose en estos casos hemoptisis idiopática o criptogenética 3 .…”

Section: Introductionunclassified

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Actitud diagnóstica y terapéutica ante el paciente que acude con hemoptisis

Sancho¹,

Jósé²,

Alija³

et al. 2003

Medifam

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Hemoptysis is a symptom that needs an exhaustive study because it can be secondary to a critical disease and/or give rise to a fatal hemorrhage or even an asphyxia syndrome. For these reasons we have to evaluate and confirm as soon as possible the importance of the disease in charge, to localize the injury and to decide the best treatment, because the clinical course is umpredictable. The aim of this paper is review the manegement of this symptom as well as to stablish a pattern that allows to coordinate Primary Health Care and Respiratory Medicine.

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Section: Estudio Complementario Del Paciente Con Hemoptisisunclassified

Section: Introductionunclassified

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Actitud diagnóstica y terapéutica ante el paciente que acude con hemoptisis

Sancho¹,

Jósé²,

Alija³

et al. 2003

Medifam

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“…The expectoration of blood can vary from a small amount of blood-streaking sputum to massive bleeding with life-threatening consequences. The clinical diagnostic algorithm should aim to differentiate and identify the etiology of hemoptysis, since massive hemoptysis may result in a fatal outcome ( 1 , 2 ).…”

Section: Introductionmentioning

confidence: 99%

Morphologic spectrum of undetermined causes of hemoptysis- a pathologistÂ’s role

Ganesan

Gurusamy²

2020

TJPATH

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Objective: Hemoptysis is the expectoration of blood or blood-streaked sputum from the tracheobronchial tree. The etiology may derive from nonneoplastic conditions such as infections, chronic pulmonary diseases, and vasculitis or neoplastic causes. Sometimes a definitive cause for hemoptysis cannot be found after ample diagnostic workup. The role of biopsy in such cases is to help the clinician in arriving at the final diagnosis. Diffuse alveolar hemorrhage is the main histopathological finding in hemoptysis and it appears with diffuse chest infiltrates radiologically. Material and Method: A retrospective study of 2 years duration was conducted to identify the morphological spectrum of diseases presenting with hemoptysis. A total of 243 lung biopsies obtained by various methods were retrieved in this study period and 20 cases with hemoptysis of undetermined etiology were detected. Results: Based on imaging and histopathology findings, the etiological causes of hemoptysis were divided into hemoptysis with and without capillaritis or due to tumor/tumor-like lesions and due to miscellaneous conditions. The most common etiology was vasculitis followed by infections. Conclusion: Histopathology helps to detect the etiology, particularly in cases of hemoptysis due to non-immunologic causes. In immunologic cases, histopathological findings may support the diagnosis in correlation with the clinical/imaging features.

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