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Jiménez-Zarazúa O, Vélez-Ramírez LN, Ramírez-Casillas CA, Mondragón JD. Pulmonary thromboembolism and alveolar hemorrhage as initial manifestations of systemic lupus erythematosus. Lupus 2022; 31:116-124. [PMID: 35042383 PMCID: PMC8793315 DOI: 10.1177/09612033211066481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease that affects multiple organs. SLE can affect the lung, the pulmonary vasculature, and the pleura. A 38-year-old female with limb pain and ecchymosis who later developed pulmonary thromboembolism and alveolar hemorrhage is presented here. Clinical, imaging, laboratory, and histopathological evidence is presented. The patient met the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR) criteria for SLE. Furthermore, the patient had a Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of 35; thus, indicating severe disease. This case is an example of concomitant venous and arterial lung complications in an SLE patient.
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Affiliation(s)
- O Jiménez-Zarazúa
- Hospital General Regional IMSS No. 21, 42581Department of Internal Medicine, León, Guanajuato, Mexico.,Department of Medicine and Nutrition, 10173Universidad de Guanajuato, Guanajuato, Mexico
| | - L N Vélez-Ramírez
- Department of Medicine and Nutrition, 10173Universidad de Guanajuato, Guanajuato, Mexico.,Hospital General de León, Department of Radiology, León, Guanajuato, Mexico
| | - C A Ramírez-Casillas
- Hospital General Regional IMSS No. 21, 42581Department of Internal Medicine, León, Guanajuato, Mexico.,Department of Medicine and Nutrition, 10173Universidad de Guanajuato, Guanajuato, Mexico
| | - J D Mondragón
- Department of Medicine and Nutrition, 10173Universidad de Guanajuato, Guanajuato, Mexico.,Hospital General de León, Department of Radiology, León, Guanajuato, Mexico.,University of Groningen, University Medical Center Groningen, Department of Neurology, The Netherlands.,University of Groningen, University Medical Center Groningen, Alzheimer Center Groningen, The Netherlands
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Yousif PA, Moshrefi H, Meysami A, Alkhatib AH. Lupus-Induced Vasculitis and Multiple Organ Dysfunction Syndrome as the First Presentation of Systemic Lupus Erythematosus (SLE) in Pregnancy. AMERICAN JOURNAL OF CASE REPORTS 2020; 21:e921299. [PMID: 32284523 PMCID: PMC7176590 DOI: 10.12659/ajcr.921299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Patient: Female, 21-year-old Final Diagnosis: Diffuse alveolar hemorrhage Symptoms: Cough • dyspnea • fever • rash • sore throat Medication: — Clinical Procedure: — Specialty: Rheumatology
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Affiliation(s)
- Patrick A Yousif
- Department of Internal Medicine, Detroit Medical Center Sinai-Grace Hospital/Wayne State University, Detroit, MI, USA
| | - Hameadreza Moshrefi
- Department of Rheumatology, Henry Ford Hospital/Wayne State University, Detroit, MI, USA
| | - Alireza Meysami
- Department of Rheumatology, Henry Ford Hospital/Wayne State University, Detroit, MI, USA
| | - Ayad H Alkhatib
- Department of Rheumatology, Henry Ford Hospital/Wayne State University, Detroit, MI, USA
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