Abstract
Nonmassive hemoptysis is a frequently encountered consultation at the pulmonary clinic and a few cases are commonly inconclusive. We present a case of unexplained chronic nonmassive hemoptysis, which was finally diagnosed as endobronchial telangiectasia, a rare cause of hemoptysis. Endobronchial telangiectasia can lead to massive hemoptysis, which occasionally can be missed by a casual examination during Flexible bronchoscopy, and these patients may undergo multiple diagnostic procedures before the diagnosis is established. Using narrow band imaging during flexible bronchoscopy can help the pulmonologist to identify the culprit lesions, which would otherwise be missed.
Highlights
Recurrent nonmassive hemoptysis is one of the common outpatient visits in a pulmonary clinic and, in many cases, the cause of hemoptysis remains unknown
We describe a case of recurrent nonmassive hemoptysis of an unknown cause, which was eventually diagnosed as endobronchial telangiectasia using narrow band imaging during bronchoscopy
Telangiectasia, which originates from the bronchial circulation, will not cause abnormal gas exchange or hypoxia, in contrast to the more common arteriovenous malformations (AVM) of the pulmonary circulation seen in patients with hemorrhagic telangiectasia (HHT)
Summary
Recurrent nonmassive hemoptysis is one of the common outpatient visits in a pulmonary clinic and, in many cases, the cause of hemoptysis remains unknown. We describe a case of recurrent nonmassive hemoptysis of an unknown cause, which was eventually diagnosed as endobronchial telangiectasia using narrow band imaging during bronchoscopy. Figure 1: 5-10ml of Fresh and clotted blood from the hemoptysis episode.
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