| ORIGINAL ARTICLE |
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| Year : 2009 | Volume
: 4
| Issue : 1 | Page : 10-12 |
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Lessons from patients with hemoptysis attending a chest clinic in India
Rajendra Prasad, Rajiv Garg, Sanjay Singhal, Piyush Srivastava
Department of Pulmonary Medicine, Chatrapati Sahuji Maharaj Medical University, Lucknow, India
Correspondence Address:
Rajendra Prasad
Department of Pulmonary Medicine, Chatrapati Sahuji Maharaj Medical University, Lucknow-226 003
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1817-1737.43062
Clinical trial registration None
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Objective:To evaluate the various etiologies of hemoptysis.
Materials and Methods: 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 (< 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.
Results: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%) patients in the pulmonary tuberculosis group, 25 (5.7%) in the neoplasm group, 19 (4.0%) in the chronic bronchitis group, 18 (3.8%) in the bronchiectasis group, and 35 (7.3%) 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.
Conclusion: 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. |
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