Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report

We report a case of 19 year-old female patient diagnosed as systemic lupus erythematosus (SLE) presented with fever and diffuse cutaneous lesions. During the hospital stay she had acute pneumonia, pleural effusion and respiratory failure, which required intensive care unit (ICU) care and mechanical...

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Main Authors: H.K. Aggarwal, D. Jain, A. Mittal, A. Rao, R.K. Yadav, P. Jain
Format: Article
Language:English
Published: PAGEPress Publications 2016-06-01
Series:Reumatismo
Subjects:
Online Access:http://www.reumatismo.org/index.php/reuma/article/view/846
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author H.K. Aggarwal
D. Jain
A. Mittal
A. Rao
R.K. Yadav
P. Jain
author_facet H.K. Aggarwal
D. Jain
A. Mittal
A. Rao
R.K. Yadav
P. Jain
author_sort H.K. Aggarwal
collection DOAJ
description We report a case of 19 year-old female patient diagnosed as systemic lupus erythematosus (SLE) presented with fever and diffuse cutaneous lesions. During the hospital stay she had acute pneumonia, pleural effusion and respiratory failure, which required intensive care unit (ICU) care and mechanical ventilator support. A fulminant course of the disease, decreased values of complement levels and positive antinuclear antibodies (ANA) in pleural fluid and repeated negative <em>sputum</em> for acid-fast bacillus, blood cultures enabled diagnosis of fulminant lupus pneumonitis. Fulminant lupus pneumonitis is a rare but potentially life threatening complication of SLE. Management requires involvement of multiple specialties and rigorous efforts in reviving the patient.
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spelling doaj.art-d41f03d9d7874a9489125734a99d807e2022-12-22T03:02:17ZengPAGEPress PublicationsReumatismo0048-74492240-26832016-06-01681485210.4081/reumatismo.2016.846704Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case reportH.K. Aggarwal0D. Jain1A. Mittal2A. Rao3R.K. Yadav4P. Jain5Department of Medicine, Pt. B.D. Sharma University of Health Sciences, RohtakDepartment of Medicine, Pt. B.D. Sharma University of Health Sciences, RohtakDepartment of Medicine, Pt. B.D. Sharma University of Health Sciences, RohtakDepartment of Medicine, Pt. B.D. Sharma University of Health Sciences, RohtakDepartment of Medicine, Pt. B.D. Sharma University of Health Sciences, RohtakDepartment of Pathology, Pt. B.D. Sharma University of Health Sciences, RohtakWe report a case of 19 year-old female patient diagnosed as systemic lupus erythematosus (SLE) presented with fever and diffuse cutaneous lesions. During the hospital stay she had acute pneumonia, pleural effusion and respiratory failure, which required intensive care unit (ICU) care and mechanical ventilator support. A fulminant course of the disease, decreased values of complement levels and positive antinuclear antibodies (ANA) in pleural fluid and repeated negative <em>sputum</em> for acid-fast bacillus, blood cultures enabled diagnosis of fulminant lupus pneumonitis. Fulminant lupus pneumonitis is a rare but potentially life threatening complication of SLE. Management requires involvement of multiple specialties and rigorous efforts in reviving the patient.http://www.reumatismo.org/index.php/reuma/article/view/846Systemic lupus erythematosuslupus pneumonitisautoimmune systemic diseaseintensive care unit.
spellingShingle H.K. Aggarwal
D. Jain
A. Mittal
A. Rao
R.K. Yadav
P. Jain
Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
Reumatismo
Systemic lupus erythematosus
lupus pneumonitis
autoimmune systemic disease
intensive care unit.
title Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
title_full Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
title_fullStr Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
title_full_unstemmed Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
title_short Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report
title_sort systemic lupus erythematosus presenting as fulminant lupus pneumonitis a rare case report
topic Systemic lupus erythematosus
lupus pneumonitis
autoimmune systemic disease
intensive care unit.
url http://www.reumatismo.org/index.php/reuma/article/view/846
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