PT - JOURNAL ARTICLE AU - Hatipoğlu, Umur Şevket AU - Smith, Michael AU - Arrossi, Andrea V AU - Tonelli, Adriano R TI - Pulmonary veno-occlusive disease: atypical presentation with unexplained exertional dyspnoea and hypoxaemia AID - 10.1136/bcr-2025-265170 DP - 2025 Apr 01 TA - BMJ Case Reports PG - e265170 VI - 18 IP - 4 4099 - http://casereports.bmj.com/content/18/4/e265170.short 4100 - http://casereports.bmj.com/content/18/4/e265170.full SO - BMJ Case Reports2025 Apr 01; 18 AB - Pulmonary veno-occlusive disease is an uncommon condition that typically presents with moderate to severe pulmonary hypertension and characteristic imaging abnormalities. We report two patients who presented with severe hypoxaemia and low diffusion capacity without pulmonary hypertension and classical imaging findings. Pulmonary venoocclusive disease should be included in the differential diagnosis of unexplained hypoxemia.