<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192024000100121</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v37n1-2024010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemorragia alveolar difusa en paciente con trombocitopenia inmune primaria refractaria: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Diffuse alveolar hemorrhage in a patient with refractory primary immune thrombocytopenia: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondón-Carvajal]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-López]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escudero-Correa]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín Antioquia]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá DC]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pontificia Bolivariana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín Antioquia]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>121</fpage>
<lpage>131</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192024000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192024000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192024000100121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La hemorragia alveolar difusa, manifestación de varias enfermedades de estirpe inmune y no inmune, constituye una rara complicación de la trombocitopenia autoinmune primaria. Se considera en pacientes con disnea, opacidades alveolares en imágenes torácicas y presencia de más de 20 % de macrófagos cargados de hemosiderina en lavado broncoalveolar. Se presenta el caso de una mujer con diagnóstico conocido de trombocitopenia inmune primaria, remitida de consulta externa por recuento plaquetario menor de 10 000 plaquetas/mililitro, quien cursó con hipoxemia de rápida instauración, opacidades en vidrio esmerilado y lavado broncoalveolar con gran cantidad de macrófagos cargados de hemosiderina, configurando el diagnóstico de hemorragia alveolar, que respondió a terapia citostática combinada en términos de mejoría sostenida en el recuento plaquetario. Se aduce la importancia de identificar elementos de juicio clínico que permitan lograr un diagnóstico temprano, así como establecer puentes transdisciplinarios que conduzcan a un tratamiento efectivo en un escenario potencialmente fatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Diffuse alveolar hemorrhage, a manifestation of several immune and non-immune diseases, is a rare complication of primary autoimmune thrombocytopenia. It is considered in patients with dyspnea, alveolar opacities in chest images and the presence of more than 20 % of hemosiderin-laden macrophages in bronchoalveolar lavage. We present the case of a woman with a known diagnosis of primary immune thrombocytopenia, referred from an outpatient clinic for platelet count less than 10 000 platelets/milliliter, who presented with rapid onset hypoxemia, ground-glass opacities and bronchoalveolar lavage with a high number of hemosiderin-laden macrophages, configuring a diagnosis of alveolar hemorrhage, which responded to combined cytostatic therapy in terms of sustained improvement in platelet count. The importance of identifying elements of clinical judgment that allow early diagnosis, as well as establishing transdisciplinary bridges leading to effective treatment in a potentially fatal scenario, is argued.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemoptisis]]></kwd>
<kwd lng="es"><![CDATA[Lavado broncoalveolar]]></kwd>
<kwd lng="es"><![CDATA[Barrera alveolocapilar]]></kwd>
<kwd lng="es"><![CDATA[Trombocitopenia]]></kwd>
<kwd lng="es"><![CDATA[Autoinmunidad]]></kwd>
<kwd lng="en"><![CDATA[Hemoptysis]]></kwd>
<kwd lng="en"><![CDATA[Bronchoalveolar lavage]]></kwd>
<kwd lng="en"><![CDATA[Blood-air barrier]]></kwd>
<kwd lng="en"><![CDATA[Thrombocytopenia]]></kwd>
<kwd lng="en"><![CDATA[Autoimmunity]]></kwd>
</kwd-group>
</article-meta>
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