Catamenial haemoptysis in females with cystic fibrosis: a case series with review of management strategies

Kubra M. Bozkanat, Natalie E. West, Sigrid Ladores, Kristina Montemayor, Maria Gabriela Tupayachi Ortiz, Mindy Christianson, Raksha Jain

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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 languageEnglish (US)
Article numbere00755
JournalRespirology Case Reports
Volume9
Issue number6
DOIs
StatePublished - Jun 2021

Keywords

  • Catamenial
  • cystic fibrosis
  • haemoptysis
  • oral contraceptive pills
  • thoracic endometriosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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