{
  "abstract": "We report a case of a man in his 80s undergoing maintenance dialysis who developed recurrent diffuse alveolar haemorrhage (DAH). Initially, he presented with acute respiratory failure requiring non-invasive positive pressure ventilation. He responded to high-dose steroid therapy, which was tapered over 1 year. After discontinuation, he developed recurrent DAH requiring intubation and mechanical ventilation. Chest CT revealed bilateral ground-glass opacities, and bronchoscopy confirmed alveolar haemorrhage. Restarting steroid therapy along with cessation of low-dose aspirin led to rapid improvement. Given his high cardiovascular risk, low-dose aspirin was cautiously resumed during hospitalisation under low-dose steroid maintenance. No recurrence has been observed to date. This case highlights the importance of individualised antithrombotic management in dialysis patients and suggests the potential contribution of low-dose aspirin to DAH.",
  "authors": [
    {
      "affiliations": [
        "Department of Respiratory Medicine, JA Toride Medical Center, Toride, Japan"
      ],
      "name": "Tomoyuki Ogata"
    },
    {
      "affiliations": [
        "Department of Respiratory Medicine, JA Toride Medical Center, Toride, Japan"
      ],
      "name": "Susumu Takahashi"
    },
    {
      "affiliations": [
        "Department of Respiratory Medicine, JA Toride Medical Center, Toride, Japan"
      ],
      "name": "Kentaro Nakamura"
    },
    {
      "affiliations": [
        "Department of Respiratory Medicine, JA Toride Medical Center, Toride, Japan"
      ],
      "name": "Takaaki Yamashita"
    }
  ],
  "title": "Recurrent diffuse alveolar haemorrhage in a patient receiving dialysis",
  "uid": "c3f82f52-d778-5444-9c9f-be651e297478"
}