DAH is a complication of systemic diseases, and frequently manifests as an initial sign of these [3] . Bronchoalveolar lavage (BAL) is the most useful procedure for confirming initial clinical suspicion, BAL with a bloody return is the only way to confirm the diagnosis and, at times, fiberoptic bronchoscopy provides the treatment. In a new development, its use in intrapulmonary administra-tion of recombinant activated factor VII (rFVIIa) has been reported in six patients [4] .