Abstract
Catamenial haemoptysis, the expectoration of blood during menses, has not been extensively reported in the cystic fibrosis (CF) literature. We describe four cases (age range: 25–34 years) of catamenial haemoptysis across four CF centres in the United States. These cases may represent thoracic endometriosis versus hormonal fluctuations in airway inflammation or infection resulting in bronchial artery bleeding. We identify common and nuanced management strategies including use of pro-coagulants, hormone contraceptives, anti-inflammatories, bronchial artery embolization, and use of the newer cystic fibrosis transmembrane conductance regulator (CFTR) modulators.
Original language | English (US) |
---|---|
Article number | e00755 |
Journal | Respirology Case Reports |
Volume | 9 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2021 |
Keywords
- Catamenial
- cystic fibrosis
- haemoptysis
- oral contraceptive pills
- thoracic endometriosis
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine