... Wegener’s granulomatosis. Laryngoscope2003, 113:1304-1307.31. Langford CA, Sneller MC, Hallahan CW, Hoffman GS, KammererWA, Talar-Williams C, Fauci AS, Lebovics RS: Clinical featuresand therapeutic ... [33].Cardiovascular managementIn addition to the impaired gas exchange caused by pulmonaryhaemorrhage, large volumes of blood may be lost into the alveolar space before haemorrhage becomes apparent ... apparent ashaemoptysis. As a result, patients with severe systemicvasculitis are often anaemic. This combination of hypoxia andanaemia may dramatically reduce oxygen delivery to the tissues.On admission...