Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)1990-472XФедеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации1107410.18499/1990-472X-2025-26-4-%pDIFFICULTIES IN DIAGNOSIS OF IDIOPATHIC PULMONARY HEMOSIDEROSIS IN A POLYMORBID PATIENT (CLINICAL OBSERVATION)KarpukhinaElena Petrovna<p>Candidate of Medical Sciences, Associate Professor</p>karpukhina@inbox.ruVasilyevaLudmila Valentinovna<p>Doctor of Medical Sciences, Professor, Head of the Department of Internal Medicine Propaedeutics</p>ludmilvasil@mail.ruMalyukovDmitry Andreevich<p>Candidate of Medical Sciences, Associate Professor</p>mdm112@mail.ruZolotarevaMaria<p>Candidate of Medical Sciences, Associate Professor</p>zolotaryva85@mail.ruN.N. Burdenko Voronezh State Medical University of the Russian Ministry of Health3012202526410911226012026Copyright © 2025, Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)2025<p>Idiopathic pulmonary hemosiderosis is a rare disease of unclear etiology with the development of alveolar-hemorrhagic syndrome. The presented clinical case demonstrates the difficulties in diagnosing this clinical condition in a patient with concomitant cardiovascular pathology.</p>idiopathic pulmonary hemosiderosis, polymorbidityидиопатический гемосидероз легких, полиморбидность1.1. Saha BK. Idiopathic pulmonary hemosiderosis: A state of the art review. Respir Med. 2021; 176:106234. DOI: 10.1016/j.rmed.2020.106234.2.2. Fontenot A.P., Schwarz M.I. Alveolar Hemorrhage Syndromes// Baums Textbook of Pulmonary Diseases.7th ed. / Tds J.D. Crapo et al. 2004; 623. DOI: 10.1186/cc37173.3. Aiman A, Saha S, Chong WH, Saha BK. A 49-year-old man with ischemic cardiomyopathy and persistent hemoptysis for eighteen months. Am J Med Sci. 2022; 364(1):111-117. DOI: 10.1016/j.amjms.2021.10.030.4.4. Butt A, Ahmed R, Sheikh MDA, Khan O, Iqbal N, Rahman AJ, Khan JA. Idiopathic pulmonary hemosiderosis - A rare cause of chronic anemia. Monaldi Arch Chest Dis. 2020; 90(2). DOI: 10.4081/monaldi.2020.1267.5.5. Krumsiek A, Poggemann V, Wertzel H, Achenbach HJ. Rezidivierende Hämoptysen bei einer 29-jährigen Patientin [Recurrent hemoptysis in a 29-year old woman]. Internist (Berl). 2010; 51(12):1561-6. German. DOI: 10.1007/s00108-010-2651-0.6.6. Willms H, Gutjahr K, Juergens UR, Hammerschmidt S, Gessner C, Hoheisel G, Wirtz H, Gillissen A. Die idiopathische pulmonale Hämosiderose [Diagnostics and therapy of idiopathic pulmonary hemosiderosis]. Med Klin. 2007; 102(6):445-50. DOI: 10.1007/s00063-007-1057-9.7.7. Airaghi L, Ciceri L, Giannini S, Ferrero S, Meroni PL, Tedeschi A. Idiopathic pulmonary hemosiderosis in an adult. Favourable response to azathioprine. Monaldi Arch Chest Dis. 2001; 56(3):211-3.8.8. Maalej S, Drira I, Fennira H, Ben Mefteh R, Bourguiba M, Zidi A, El Mezni F, Ben Kheder A. Hémosidérose pulmonaire idiopathique de l'adulte [Idiopathic pulmonary hemosiderosis in adults]. Rev Pneumol Clin. 2005; 61(2):109-11. DOI: 10.1016/s0761-8417(05)84796-0.