Suspected idiopathic pulmonary hemosiderosis in two children at Parirenyatwa Hospital, Zimbabwe: Case reports

Abstract

Idiopathic Pulmonary Haemosiderosis (IPH) is a rare condition that causes repeat diffuse alveolar hemorrhage, may result in pulmonary haemosiderosis and lung fibrosis. The classical triad of symptoms includes iron-deficiency anemia, hemoptysis and diffuse pulmonary infiltrates on chest imaging. We present the clinical features and management of suspected idiopathic pulmonary haemosiderosis in two paediatric patients at Parirenyatwa Hospital, a low-income setting. Barriers such as cost of investigations, fears of general anesthesiology and refusal of invasive lung procedures make diagnosis and management challenging.