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December 1991

A Reappraisal of the Causes of Hemoptysis

Author Affiliations

From the West Los Angeles Veterans Affairs Medical Center, Wadsworth Division, and Pulmonary Disease Section, UCLA School of Medicine, Los Angeles, Calif.

Arch Intern Med. 1991;151(12):2449-2451. doi:10.1001/archinte.1991.00400120087015

We reviewed the records of 264 patients who underwent fiberoptic bronchoscopy for unexplained hemoptysis to determine the various causes of hemoptysis. Bronchogenic carcinoma (29%), bronchitis (23%), and idiopathic hemoptysis (22%) accounted for the majority of causes of hemoptysis. In contrast to older studies, the incidence of hemoptysis secondary to tuberculosis and bronchiectasis has decreased. Although our patient population is predominantly male and elderly, our data may well be representative of more recent epidemiologic trends in causes of hemoptysis.

(Arch Intern Med. 1991;151:2449-2451)

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