Systemic Lupus Erythematosus Presenting with Alveolar Hemorrhage
Joint Authors
Tolaymat, Omar
Berianu, Florentina
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Diffuse alveolar hemorrhage is a rare presentation of systemic lupus erythematosus.
Early diagnosis and appropriate treatment can improve outcome.
Case Report.
An 18-year-old male presented with hemoptysis and respiratory distress requiring orotracheal intubation.
Laboratory tests showed positive anti-nuclear antibody and anti-dsDNA and low C3 and C4.
Bronchoalveolar lavage became progressively hemorrhagic after each aliquot.
He was treated with pulse methylprednisolone, cyclophosphamide, and plasma exchanges.
Discussion.
Alveolar hemorrhage is a rare initial presentation of lupus, with mortality rates reported at about 50%.
Lupus should be considered in those presenting with alveolar hemorrhage since delay in therapy may cause a rapid deterioration of the patient.
The diagnosis of SLE is illusive when DAH is the presenting symptom.
Since early diagnosis and appropriate institution of treatment improve outcome, it is important to keep lupus in mind as an etiology of alveolar hemorrhage.
Pulse methylprednisolone, cyclophosphamide, and plasmapheresis therapy resulted in rapid improvement of respiratory function in our patient.
American Psychological Association (APA)
Tolaymat, Omar& Berianu, Florentina. 2018. Systemic Lupus Erythematosus Presenting with Alveolar Hemorrhage. Case Reports in Rheumatology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1149897
Modern Language Association (MLA)
Tolaymat, Omar& Berianu, Florentina. Systemic Lupus Erythematosus Presenting with Alveolar Hemorrhage. Case Reports in Rheumatology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1149897
American Medical Association (AMA)
Tolaymat, Omar& Berianu, Florentina. Systemic Lupus Erythematosus Presenting with Alveolar Hemorrhage. Case Reports in Rheumatology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1149897
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149897