Evaluation and management of hemoptysis in infants and children. A report of nine cases

Chi D. Nguyen, Robert Schoumacher, Jerome W. Thompson, Rande H. Lazar, Firas Hamdan, Rose Mary Stocks, K. Van Nguyen

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Hemoptysis is an occasional complication of adult pulmonary disease and is rare in children. The most common causes in adults are infection, bronchiectasis, pulmonary neoplasm, cystic fibrosis, pulmonary infarct, and trauma: in children the most common causes are infection and congenital abnormalities of the cardiopulmonary vasculature. Nine cases of hemoptysis in seven infants and two children will be presented. Two cases were fatal, thus illustrating the importance of rapid and definitive therapy early in the course. One of the fatal cases is the first case report in the otolaryngological literature of fatal hemoptysis in the newborn as a result of vascular anomalies associated with an absent left pulmonary artery. Eight cases of various causes, including small vessel vascular abnormality, trauma, recurrent pulmonary infection, and laryngotracheal papilloma, are discussed. The literature is reviewed, embryology is discussed, and a mechanism of death is theorized for the patient with the congenital vessel anomaly. Management considerations for hemoptysis in infants and children are discussed.

Original languageEnglish (US)
Pages (from-to)516-520
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume105
Issue number7
StatePublished - Aug 5 1996

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Hemoptysis
Blood Vessels
Infection
Lung
Bronchiectasis
Embryology
Wounds and Injuries
Papilloma
Cystic Fibrosis
Pulmonary Artery
Lung Diseases
Lung Neoplasms
Newborn Infant
Therapeutics

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Nguyen, C. D., Schoumacher, R., Thompson, J. W., Lazar, R. H., Hamdan, F., Stocks, R. M., & Van Nguyen, K. (1996). Evaluation and management of hemoptysis in infants and children. A report of nine cases. Annals of Otology, Rhinology and Laryngology, 105(7), 516-520.

Evaluation and management of hemoptysis in infants and children. A report of nine cases. / Nguyen, Chi D.; Schoumacher, Robert; Thompson, Jerome W.; Lazar, Rande H.; Hamdan, Firas; Stocks, Rose Mary; Van Nguyen, K.

In: Annals of Otology, Rhinology and Laryngology, Vol. 105, No. 7, 05.08.1996, p. 516-520.

Research output: Contribution to journalArticle

Nguyen, CD, Schoumacher, R, Thompson, JW, Lazar, RH, Hamdan, F, Stocks, RM & Van Nguyen, K 1996, 'Evaluation and management of hemoptysis in infants and children. A report of nine cases', Annals of Otology, Rhinology and Laryngology, vol. 105, no. 7, pp. 516-520.
Nguyen, Chi D. ; Schoumacher, Robert ; Thompson, Jerome W. ; Lazar, Rande H. ; Hamdan, Firas ; Stocks, Rose Mary ; Van Nguyen, K. / Evaluation and management of hemoptysis in infants and children. A report of nine cases. In: Annals of Otology, Rhinology and Laryngology. 1996 ; Vol. 105, No. 7. pp. 516-520.
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