Agrawal G, Agarwal R, Rohit MK, Mahesh V, Vasishta RK. Miliary nodules due to secondary pulmonary hemosiderosis in rheumatic heart disease. World J Radiol 2011; 3(2): 51-54 [PMID: 21390194 DOI: 10.4329/wjr.v3.i2.51]
Corresponding Author of This Article
Dr. Ritesh Agarwal, Assistant Professor, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India. riteshpgi@gmail.com
Article-Type of This Article
Case Report
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Gyanendra Agrawal, Ritesh Agarwal, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Manoj Kumar Rohit, Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Venkat Mahesh, Rakesh Kumar Vasishta, Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Agrawal G drafted the manuscript; Agarwal R conceived the study and drafted and revised the manuscript; Rohit MK was responsible for patient management, and drafted the manuscript; Mahesha V was responsible for patient management, and drafted the manuscript; Vasishta RK was responsible for patient management, and drafted the manuscript.
Correspondence to: Dr. Ritesh Agarwal, Assistant Professor, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India. riteshpgi@gmail.com
Telephone: +91-172-2756825 Fax: +91-172-2748215
Received: November 8, 2010 Revised: December 22, 2010 Accepted: December 29, 2010 Published online: February 28, 2011
Abstract
Pulmonary hemosiderosis is defined as the clinical and functional consequence of iron overload of the lungs, which usually occurs due to recurrent intra-alveolar bleeding. It can manifest as miliary mottling and should be entertained in the differential diagnosis of patients presenting with miliary nodules on chest radiography, especially those with mitral stenosis. The management of secondary pulmonary hemosiderosis secondary to valvular heart disease includes valvuloplasty and/or valve replacement. The radiological opacities may disappear with successful treatment of the underlying valvular disease in many patients. However, they may persist with no physiological impairment to the patient. Here, we present a 32-year-old man with mitral stenosis who presented with fever and miliary shadows on chest radiography, which was ultimately diagnosed as secondary pulmonary hemosiderosis.
