CME Article

A 14-Year-old Girl with Cough and Anemia

Marisa S. Klein-Gitelman, MD, MPH

  • Pediatric Annals
  • March 2012 - Volume 41 · Issue 3: e1-e4
  • DOI: 10.3928/00904481-20120206-05
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Abstract

A 14-year-old white girl with a history of insulin-dependent diabetes presented to her primary care physician with a 2-week history of cough, nasal congestion, and rhinorrhea. One week before her visit, she had redness in the corner of her eye, which her eye doctor treated with loteprednol eye drops.

CME Educational Objectives

  1.  Articulate the differential diagnosis of acute pulmonary hemorrhage in an adolescent female.
  2. Differentiate systemic lupus erythematosus (SLE) from Goodpasture's disease and granulomatosis with polyangiitis. 
  3. Discuss how involvement of other organ systems helps in determining the underlying etiology of pulmonary hemorrhage in the adolescent.

 


 

AUTHORS

Marisa S. Klein-Gitelman, MD, MPH, is Head, Division of Rheumatology, Children’s Memorial Hospital; and Associate Professor of Pediatrics, Northwestern University Feinberg School of Medicine.

Dr. Klein-Gitelman has disclosed no relevant financial relationships.

Address correspondence to: Marisa S. Klein-Gitelman, MD, MPH, 2300 Children’s Plaza #50, Chicago, IL 60614; fax: 773-880-4179; email: .klein-gitelman@northwestern.edu

doi: 10.3928/00904481-20120206-05

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