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15th July 2024
A 62-year-old woman presented with a 4-day history of haemoptysis
A 62-year-old woman presented with a 4-day history of haemoptysis. Her friends and family have commented that her clothes seem to be fitting more loosely. She admitted to feeling tired for the past 6 months. She looked unwell and had bloodshot eyes. Urinalysis revealed blood ++ and protein +++. Investigations were as follows:
| Haemoglobin | 88 g/L (115-165) |
| White cell count | 14.0 × 10⁹/L (4.0–11.0) |
| Eosinophil count | 0.8 × 10⁹/L (0.04-0.4)) |
| Platelet count | 400 × 10⁹/L (150-400) |
| Serum creatinine | 366 µmol/L (60-110) |
| Serum C-reactive protein | 274 mg/L (<10) |
| Chest x-ray | Patchy bilateral lower zone shadowing |
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