1992 Volume 31 Issue 4 Pages 457-458
A 60-year-old male with acute promyelocytic leukemia demonstrated bilateral diffuse airspace consolidation on chest X-ray. An autopsy on the next day revealed pure pulmonary alveolar hemorrhage without leukemic infiltration or inflammation. Disseminated intravascular coagulation was confirmed microscopically. In severe hemorrhagic diathesis and leukopenia, it is impossible to distinguish pulmonary hemorrhage from pneumonia by X-ray alone. Broncoalveolar lavage may be the only possible diagnostic approach.
(Internal Medicine 31:457-458, 1992)
