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A case of propylthiouracil induced diffuse pulmonary hemorrhage

Authors
Lee S.Y.Jung J.Y.Lee K.J.Lee S.H.Kim S.J.Lee E.J.Hur G.Y.Jung H.C.Lee S.Y.Kim J.H.Shin C.Shim J.J.In K.H.Kang K.H.Yoo S.H.
Issue Date
2005
Keywords
ANCA; Diffuse alveolar hemorrhage; Propylthiouracil
Citation
Tuberculosis and Respiratory Diseases, v.58, no.1, pp 78 - 82
Pages
5
Indexed
SCOPUS
Journal Title
Tuberculosis and Respiratory Diseases
Volume
58
Number
1
Start Page
78
End Page
82
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/20051
ISSN
0378-0066
Abstract
Propylthiouracil(PUT) is a drug which used at Grave's disease. But PTU has recently been observed to associated with antineutrophil cytoplasmic antibody(ANCA)-positive vasculitis resulting in, infrequently, diffuse alveolar hemorrhage. We report the case of a patient who developed diffuse pulmonary hemorrhage after she had been taking PTU for two years. She had received a diagnosis of Grave's disease at two years ago. The serologic study was positive for ANCA with myeloperoxidase(MPO) specificity. Bronchoalveloar lavage(BAL) fluid analysis revealed hemosiderinladen macrophages. Such findings suggested propylthiouracil induced dffuse pulmonary hemorrhage associated with antineutrophil cytoplasmic antibody. To our knowledge, this represents the first documentation in a case of PTU-induced diffuse pulmonary hemorrhage in Korea.
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In, Kwang Ho
Anam Hospital (Department of Pulmonary, Allergy, and Critical Care Medicine, Anam Hospital)
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