RT Journal Article
SR Electronic
T1 Respiratory failure in a cancer patient: pulmonary thrombotic microangiopathy
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 430
OP 432
DO 10.7861/clinmed.2020-0102
VO 20
IS 4
A1 Robert M Venn
A1 Emma Parkes
A1 Anurag Joshi
A1 Edward JD Caple
A1 Helen E Davies
YR 2020
UL http://www.rcpjournals.org/content/20/4/430.abstract
AB The hypoxic patient with a normal chest X-ray can be a diagnostic challenge. This case illustrates the rational diagnostic process and describes a relatively rare but important complication of cancer metastasis. Thrombotic microangiopathy, like lymphangitis carcinomatosa, may cause respiratory failure and is a poor prognostic finding. However, unlike lymphangitis carcinomatosa, it may not have specific findings on cross-sectional imaging.