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Case Reports
May 1944

PULMONARY HEMOSIDEROSIS IN A SIX YEAR OLD BOY: A CLINICAL AND PATHOLOGIC REPORT

Author Affiliations

CLEVELAND
From the Departments of Pediatrics and Pathology, Western Reserve University, and City Hospital.

Am J Dis Child. 1944;67(5):387-392. doi:10.1001/archpedi.1944.02020050049010

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Abstract

Judging from a study of the literature, chronic interstitial pulmonary infiltration and hemosiderosis1 must be rare in children and the diagnosis of this disease must be difficult to make while the patient is living. In the case here reported a diagnosis of chronic pulmonary infiltration was made from clinical and roentgenographic observation, and, although hemosiderosis was considered, after Anspach's report of a case of this condition2 had been read, the patient presented such a different clinical picture that a diagnosis of hemosiderosis was not definitely made clinically.

The essential features of this report are as follows: An undernourished but otherwise normal 5 year old white boy passed through a period, of a few months' duration, of rather severe anemia of unknown origin, associated with great fatigability and muscular weakness. Aside from this general condition, for some months the only positive sign was diffuse mottling of the pulmonary fields

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