Published: 4 February 2019
Author(s): Oscar M.P. Jolobe
Section: Letter to the Editor

The report of haemoptysis as a presenting feature of hepatic-pulmonary disease [1] is testimony to the importance of hepatic-pulmonary disease in the differential diagnosis of haemoptysis. This differential diagnosis includes amoebic liver abscess, which presented with recurrent bouts of haemoptysis of such severity as to require 2 units blood transfusion. Subsequently, however, in contrast to the patient's description of the sputum, some clinicians found it to be thick reddish in colour, with plenty of degenerate cells mixed with red blood cells.

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