Question
A 6.5-year-old boy has been experiencing coughing with a small amount of blood-tinged sputum. He currently has moderate anemia with a hemoglobin level of 81. After detailed examinations at several hospitals, he was diagnosed with hemosiderin pigment deposition and pulmonary hemorrhage. After being hospitalized and stabilizing his condition, he was discharged and is currently taking Methylprednisolone tablets (5 pills in the morning, 4 pills in the evening) and Omeprazole Magnesium Enteric-coated Tablets (1 pill daily). The doctor recommends undergoing angiography, and he is currently scheduling for surgery. I would like to consult with the doctor about whether there is a possibility of spontaneous remission as the child’s previous health condition was relatively good without frequent illnesses. This time, he was diagnosed with hemosiderin pigment deposition. Is there a possibility of spontaneous remission? After undergoing many tests, apart from anemia, no other abnormalities were found. Besides taking hormones, are there other treatment methods? Can traditional Chinese medicine cure this disease? The doctor suggests hormonal therapy for one year, so what should be done for care after discontinuation of medication? Will there be recurrence without cause in the future?
Answer
A 6.5-year-old boy is suffering from hemosiderin pigment deposition and pulmonary hemorrhage, and is currently undergoing treatment and requires surgical treatment. This condition is an idiopathic disease commonly seen in childhood, characterized by recurrent hemorrhage in the pulmonary capillaries due to hemosiderin pigment deposition, leading to pulmonary fibrosis. It may be related to allergic reactions and autoimmune abnormalities. Considering the child’s condition, treatment should be carried out under the guidance of a specialist physician, during which period bed rest is required, allergic sources should be investigated, and contact with allergens should be avoided to prevent exacerbation of the condition, enhance physical fitness, prevent infections, and have regular follow-up examinations. Traditional Chinese medicine can only play an auxiliary role.