in recent years a few examples of the association of pulmonary hemorrh
age and IgA nephropathy have been reported. We present a 42-year-old m
an with biopsy-proven mesangial IgA deposition, in whom alveolar hemor
rhage was the first manifestation of the disease. Although this manife
station of IgA nephropathy is rare, the diagnosis must be considered i
n all patients with pulmonary hemorrhage in the absence of clinical or
serological evidence of systemic disease.