Coexistance of idiopathic pulmonary hemosiderosis and celiac disease: Complete remission with gluten free diet

Abstract

Idiopathic pulmonary hemosiderosis is a rare disease of unknown etiology usually characterized by recurrent episodes of alveolar hemorrhage, hemoptysis and iron deficiency anemia. It occurs most frequently in children but rarely in adults. The combination of idiopathic pulmonary hemosiderosis and celiac disease is also extremely rare. A 24-year-old man with history of recurrent hemoptysis and anemia was diagnosed with the combination of idiopathic pulmonary hemosiderosis and celiac disease. The patient was started on a gluten-free diet and has had no recurrences of hemoptysis over 2 months' follow-up. Hemoglobin at 2 months' follow up was normal and graund glass opasities in HRCT scan completely disappeared.