Uremic pneumonitis is a complication of end-stage renal disease (ESRD) that is rarely seen nowadays with hemodialysis (HD) becoming more accessible. This is a case presentation of 27 year male with past medical history of unspecified congenital heart disease, presented with worsening shortness of breath, pleuritic chest pain, cough and hemoptysis for five days duration. Our case points out the development of diffuse alveolar hemorrhage as a result of uremia regardless of the cause of renal failure. Uremic pneumonitis is included in the “Adult respiratory distress syndrome”.
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