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Massive Haemoptysis - common aetiologies

Always consider TB, fungal infections(aspergillosis) and bronchiectasis as the most common cause of massive haemoptysis

Other common aetiologies of haemoptysis are:

Neoplasms

  • carcinoma

  • adenoma

  • metastatic lung cancer

Cavitary lesions

  • tuberculosis

  • fungal infection

  • lung abscess

  • hydatid cyst

Interstitial or reticular lesions

  • Goodpasture's syndrome

  • Wegener's ganulomatosis

  • bronchiectasis

  • lymphangiolelomatosis

  • infections

  • Behcet's disease

  • systemic lupus erythematosus

  • chronic bronchitis

Vascular aetiologies

  • mitral stenosis

  • pulmonary infarct or embolism

  • rupture of thoracic aneurysm

  • arteriovenous malformation

  • iatrogenic rupture of pulmonary artery by balloon-tipped catheter

  • trauma

Coagulopathies

  • von Willebrand's disease

  • haemophillia

  • thrombocytopenia

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