“…Anticoagulation is acceptable, as long as it is concomitant with corticotherapy, although controlled prospective studies on the subject do not succeed. 5,6,7 Our patient showed good evolution after the first combined pulse therapy with methylprednisolone and cyclophosphamide, without further episodes of hemoptoic and with regression in the size and number of pulmonary aneurysms. However, as reported in the literature, he had hemoptoic after the sixth course of pulse therapy, which required new therapeutic discussion.…”