Abstract

Aim: Hemoptysis is defined as expectoration of blood from the lower respiratory tract, whereas pseudohemoptysis refers to bleeding originating from the upper airways or gastrointestinal tract. Distinguishing between these entities in children is essential due to their differing clinical implications. This study aimed to assess the diagnostic value of clinical features in differentiating hemoptysis from pseudohemoptysis in pediatric patients and to analyze the underlying causes and diagnostic approaches.
Materials and Methods: A retrospective review was conducted on 94 pediatric patients who presented with oral bleeding between January 2018 and December 2024. Data on demographics, bleeding characteristics, clinical findings, diagnostic imaging, and etiologies were analyzed.
Results: Hemoptysis was diagnosed in 51% (n=48) and pseudohemoptysis in 49% (n=46) of cases. Cough, sputum production, and pink-to-bright red blood were significantly associated with hemoptysis (p

Key words: hemoptysis, pseudohemoptysis, factitious hemoptysis, child, cough