Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea
A 24-year-old man with a history of bloody sputum for 6 months was referred to our hospital with suspected alveolar hemorrhaging due to vasculitis. Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhagi...
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| Veröffentlicht in: | Internal Medicine 2021/07/15, Vol.60(14), pp.2291-2296 |
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| creator | Kuramoto, Kenya Matsuyama, Masashi Nonaka, Mizu Takeishi, Takahiro Oshima, Hisayuki Matsumura, Sosuke Nakajima, Masayuki Sakai, Chio Shiozawa, Toshihiro Kiwamoto, Takumi Tsukahara, Yuko Takayashiki, Norio Ogawa, Ryoko Morishima, Yuko Noguchi, Masayuki Hizawa, Nobuyuki |
| description | A 24-year-old man with a history of bloody sputum for 6 months was referred to our hospital with suspected alveolar hemorrhaging due to vasculitis. Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhaging. However, no evidence of vasculitis was found, and subsequent polysomnographic testing confirmed that he had severe obstructive sleep apnea (OSA). Since the alveolar hemorrhaging improved after the initiation of continuous positive airway pressure treatment, the diagnosis was negative-pressure alveolar hemorrhaging due to severe OSA. |
| doi_str_mv | 10.2169/internalmedicine.6206-20 |
| format | Article |
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Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhaging. However, no evidence of vasculitis was found, and subsequent polysomnographic testing confirmed that he had severe obstructive sleep apnea (OSA). Since the alveolar hemorrhaging improved after the initiation of continuous positive airway pressure treatment, the diagnosis was negative-pressure alveolar hemorrhaging due to severe OSA.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.6206-20</identifier><identifier>PMID: 33612674</identifier><language>eng</language><publisher>Tokyo: The Japanese Society of Internal Medicine</publisher><subject>Alveoli ; Apnea ; Bronchus ; Case Report ; Computed tomography ; continuous positive airway pressure (CPAP) treatment ; Hemorrhage ; Internal medicine ; negative-pressure pulmonary edema (NPPE) ; negative-pressure pulmonary hemorrhaging (NPPH) ; obstructive sleep apnea (OSA) ; polysomnography ; Pressure ; Sleep ; Sleep apnea ; Sleep disorders ; Sputum ; Vasculitis</subject><ispartof>Internal Medicine, 2021/07/15, Vol.60(14), pp.2291-2296</ispartof><rights>2021 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2021</rights><rights>Copyright © 2021 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c688t-541a01e8078c1cf147d19fdbf9ad9f5fba25f4dcd9bac6de05a80ee9694394053</citedby><cites>FETCH-LOGICAL-c688t-541a01e8078c1cf147d19fdbf9ad9f5fba25f4dcd9bac6de05a80ee9694394053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355386/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355386/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Kuramoto, Kenya</creatorcontrib><creatorcontrib>Matsuyama, Masashi</creatorcontrib><creatorcontrib>Nonaka, Mizu</creatorcontrib><creatorcontrib>Takeishi, Takahiro</creatorcontrib><creatorcontrib>Oshima, Hisayuki</creatorcontrib><creatorcontrib>Matsumura, Sosuke</creatorcontrib><creatorcontrib>Nakajima, Masayuki</creatorcontrib><creatorcontrib>Sakai, Chio</creatorcontrib><creatorcontrib>Shiozawa, Toshihiro</creatorcontrib><creatorcontrib>Kiwamoto, Takumi</creatorcontrib><creatorcontrib>Tsukahara, Yuko</creatorcontrib><creatorcontrib>Takayashiki, Norio</creatorcontrib><creatorcontrib>Ogawa, Ryoko</creatorcontrib><creatorcontrib>Morishima, Yuko</creatorcontrib><creatorcontrib>Noguchi, Masayuki</creatorcontrib><creatorcontrib>Hizawa, Nobuyuki</creatorcontrib><title>Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 24-year-old man with a history of bloody sputum for 6 months was referred to our hospital with suspected alveolar hemorrhaging due to vasculitis. Chest computed tomography showed ground-glass opacities in both lungs, and an examination of his bronchoalveolar lavage fluid showed alveolar hemorrhaging. However, no evidence of vasculitis was found, and subsequent polysomnographic testing confirmed that he had severe obstructive sleep apnea (OSA). Since the alveolar hemorrhaging improved after the initiation of continuous positive airway pressure treatment, the diagnosis was negative-pressure alveolar hemorrhaging due to severe OSA.</description><subject>Alveoli</subject><subject>Apnea</subject><subject>Bronchus</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>continuous positive airway pressure (CPAP) treatment</subject><subject>Hemorrhage</subject><subject>Internal medicine</subject><subject>negative-pressure pulmonary edema (NPPE)</subject><subject>negative-pressure pulmonary hemorrhaging (NPPH)</subject><subject>obstructive sleep apnea (OSA)</subject><subject>polysomnography</subject><subject>Pressure</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>Sputum</subject><subject>Vasculitis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNptkc1q3DAUhUVoSaZp38HQTTdO9WPJ0qYQ0p8UQmaRZC1k-dqjwZZcSR7I29dmhoGGbq4W-r7D5R6ECoJvKBHqq_MZojfDCK2zzsONoFiUFF-gDWGVKmvK-Du0wYrIki7jCn1IaY8xk7Wil-iKMUGoqKsNenyE3mR3gHKKkNIcoZjmYQzexNfiHsYQ4870zvfF9xmKHIonOMACbZuU42xXs3gaAKbidvJgPqL3nRkSfDq91-jl54_nu_vyYfvr993tQ2mFlLnkFTGYgMS1tMR2pKpborq26ZRpVce7xlDeVa1tVWOsaAFzIzGAEqpiqsKcXaNvx9xpbpYjWPA5mkFP0Y3L4joYp__98W6n-3DQknHOpFgCvpwCYvgzQ8p6dMnCMBgPYU6aVopSySiuF_TzG3Qf5vX6C8V5TQWmVC2UPFI2hpQidOdlCNZrafptaXotTVO8qNujuk_Z9HAWTczODvAfEWtSrfOUcCbtzkQNnv0FIsStxw</recordid><startdate>20210715</startdate><enddate>20210715</enddate><creator>Kuramoto, Kenya</creator><creator>Matsuyama, Masashi</creator><creator>Nonaka, Mizu</creator><creator>Takeishi, Takahiro</creator><creator>Oshima, Hisayuki</creator><creator>Matsumura, Sosuke</creator><creator>Nakajima, Masayuki</creator><creator>Sakai, Chio</creator><creator>Shiozawa, Toshihiro</creator><creator>Kiwamoto, Takumi</creator><creator>Tsukahara, Yuko</creator><creator>Takayashiki, Norio</creator><creator>Ogawa, Ryoko</creator><creator>Morishima, Yuko</creator><creator>Noguchi, Masayuki</creator><creator>Hizawa, Nobuyuki</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210715</creationdate><title>Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea</title><author>Kuramoto, Kenya ; 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| source | J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central; PubMed Central Open Access |
| subjects | Alveoli Apnea Bronchus Case Report Computed tomography continuous positive airway pressure (CPAP) treatment Hemorrhage Internal medicine negative-pressure pulmonary edema (NPPE) negative-pressure pulmonary hemorrhaging (NPPH) obstructive sleep apnea (OSA) polysomnography Pressure Sleep Sleep apnea Sleep disorders Sputum Vasculitis |
| title | Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea |
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