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Progressive systemic sclerosis complicated by diffuse pulmonary haemorrhage.

Abstract

A case is reported of progressive systemic sclerosis with pulmonary fibrosis which was complicated by recurrent haemoptyses due to diffuse pulmonary haemorrhage. We have found no other report of this association. The haemorrhage finally remitted after treatment was started with 40 mg prednisone daily, though previously spontaneous remissions had occurred.

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BibTeXRIS

J Kallenbach, I Prinsloo, S Zwi. 1977. Progressive systemic sclerosis complicated by diffuse pulmonary haemorrhage.. https://doi.org/10.1136/thx.32.6.767

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Palliation of massive hemoptysis from unresectable carcinoma of the lung.

Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapler (Autostapler). The margins of the bronchial and vascular staples were of necessity placed directly through the tumor. The patient had an uneventful recovery and has survived six months without further hemoptysis. This method is presented as an effective strategic retreat under circumstances not permitting definitive therapy.

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