Hemosiderosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

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Physical Examination

Between the episodes of pulmonary hemorrhages, patients may remain well but commonly there is chronic ill-health Physical examination findings vary depending on whether it is an acute or chronic presentation.

• In the acute phase, the physical examination may be completely normal or include respiratory signs such as tachypnea.
• In the chronic phase, there may be:
• Pallor
• Failure to thrive
• Weight loss
• Hepatosplenomegaly
• Digital clubbing and other signs of chronic hypoxia in the setting of pulmonary fibrosis