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A Toddler Presenting with Pulmonary Renal Syndrome #MMPMID28868297
Aeschlimann FA; Yeung RS; Laxer RM; Hebert D; Cooper A; Chami R; Noone D
Case Rep Nephrol Dial 2017[May]; 7 (2): 73-80 PMID28868297show ga
Pulmonary renal syndrome refers to an association of pulmonary and glomerular disease and includes disorders, such as the ANCA-associated vasculitides, anti-glomerular basement membrane antibody disease, systemic lupus erythematosus, and IgA vasculitis (Henoch-Schönlein purpura). We present the medical history of a 26-month-old boy with an extensive purpuric rash, involving the limbs, trunk, and face, who developed clinically significant pulmonary hemorrhage and renal involvement. Rapid recognition of this rare but potentially life-threatening condition is crucial. In this report, we discuss the differential diagnosis, diagnostic studies, and treatment options to consider when facing a young child presenting with a pulmonary renal syndrome.