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Haemoptysis: is it really from the lungs? The well child who spits out blood
  1. Ian M Balfour-Lynn
  1. Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK
  1. Correspondence to Dr Ian M Balfour-Lynn, Royal Brompton Hospital, London SW3 6NP, UK; i.balfourlynn{at}ic.ac.uk

Abstract

Blood appearing in a previously well child’s mouth may have many sources, and it should not be assumed to be haemoptysis, that is, coming from the respiratory tract below the larynx. In addition to the lungs and lower airways, consider also the upper airways, the mouth, gastrointestinal tract and cardiovascular conditions. This article discusses the differential diagnosis and appropriate investigations.

  • Paediatrics
  • Respiratory Medicine
  • Rheumatology
  • Gastroenterology
  • Cardiology

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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