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July 7, 1978

Hemoptysis With Intercourse

Author Affiliations

Mount Carmel Mercy Hospital and Medical Center Detroit

JAMA. 1978;240(1):22-23. doi:10.1001/jama.1978.03290010026010

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To the Editor.—  Recent comment in QUESTIONS AND ANSWERS (239:351, 1978) regarding hemoptysis following intercourse prompts the following report.

Report of a Case.—  In 1973 a 55-year-old man complained of hemoptysis immediately following intercourse with orgasm. Similar episodes recurred irregularly about ten to 12 times over the course of the next two years, sometimes associated with dyspnea and lasting about 15 to 20 minutes. Hemoptysis did not occur following other types of exertion, but there was mild exertional dyspnea.The patient was obese, with repeated attempts at dietary weight reduction having failed in the preceding 15 years when he was under our observation and treatment. Diabetes mellitus was found in 1961 and was treated with oral agents. Control was satisfactory during hospitalizations for other ailments (subtotal parotidectomy for cyst, 1961; acute epididymitis, 1962; suprapubic prostatectomy for benign hypertrophy, 1967; degenerative disc disease, 1973) but was poor when he followed his own