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Diffuse alveolar haemorrhage (DAH) after a generalized tonic-clonic seizure is a rarely described illness likely involving physical disruption of alveolar-capillary interface similar to the mechanism of neurogenic pulmonary oedema. Based on our review of the English literature, only 11 cases have been reported to date. Recognition of this sparsely reported entity is important for optimal management, including avoidance of medications that have been implicated in causing DAH.

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