Lessons from patients with hemoptysis attending a chest clinic in India

<b>Objective:</b>To evaluate the various etiologies of hemoptysis. <b> Materials and Methods:</b> Four hundred and seventy-six consecutive patients of hemoptysis who were admitted to the Department of Pulmonary Medicine between January 1996 and December 2002 were included in...

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Bibliographic Details
Main Authors: Prasad Rajendra, Garg Rajiv, Singhal Sanjay, Srivastava Piyush
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Annals of Thoracic Medicine
Subjects:
Online Access:http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2009;volume=4;issue=1;spage=10;epage=12;aulast=Prasad
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Summary:<b>Objective:</b>To evaluate the various etiologies of hemoptysis. <b> Materials and Methods:</b> Four hundred and seventy-six consecutive patients of hemoptysis who were admitted to the Department of Pulmonary Medicine between January 1996 and December 2002 were included in this study. Hemoptysis was categorized as mild (&lt; 100 ml/day), moderate (100-400 ml/day), and massive (>400 ml/day). We also categorized the patients according to the primary etiology of the hemoptysis. <b> Results:</b>Of the 476 patients with hemoptysis included in this study, 352 were males and 124 were females. Pulmonary tuberculosis was the leading cause of hemoptysis. There were 377 (79.2&#x0025;) patients in the pulmonary tuberculosis group, 25 (5.7&#x0025;) in the neoplasm group, 19 (4.0&#x0025;) in the chronic bronchitis group, 18 (3.8&#x0025;) in the bronchiectasis group, and 35 (7.3&#x0025;) patients with hemoptysis due to other causes. About one-third of the patients with hemoptysis had been misdiagnosed by the referring doctor as having active pulmonary tuberculosis. <b>Conclusion: </b> Although pulmonary tuberculosis is the most important cause of hemoptysis in India, it may also occur due to a variety of other causes. Awareness should be increased among general physicians about the various etiologies of hemoptysis in pulmonary tuberculosis patients.
ISSN:1817-1737
1998-3557