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Idiopathic pulmonary hemosiderosis is characterized with episodes of hemoptysis, diffuse reticuloendothelial infiltrations in chest X-rays and iron deficiency anemia secondary to hemoptysis [1,2]. Although it is generally seen in childhood and adolescence, it can rarely be seen in adults as well [3]. Recurrent intraalveolar bleeding comprises the main pathophysiology of the disease. Reticulonodular infiltrations are seen in the chest X-rays due to these bleedings, and iron deficiency anemia ensues secondary to massive hemoptysis. The etiopathogenesis of the disease is not completely understood [4]. We report here a patient presenting with complaints of fever and cough who had diffuse infiltrations in his lungs whose symptoms and findings regressed with high dose methylprednisolone treatment.

Efficacy of high dose steroid treatment in pulmonary hemosiderosis