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

  • H.K. Aggarwal Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
  • D. Jain | jaindeepakdr@gmail.com Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
  • A. Mittal Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
  • A. Rao Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
  • R.K. Yadav Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
  • P. Jain Department of Pathology, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.

Abstract

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 sputum 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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Author Biographies

H.K. Aggarwal, Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak
Department of Medicine, Pt BD Sharma PGIMS Rohtak-124001INDIA
D. Jain, Department of Medicine, Pt. B.D. Sharma University of Health Sciences, Rohtak
Department of Medicine, Pt BD Sharma PGIMS Rohtak-124001INDIA
P. Jain, Department of Pathology, Pt. B.D. Sharma University of Health Sciences, Rohtak
Department of Pathology, Pt BD Sharma PGIMS Rohtak-124001INDIA
Published
2016-06-23
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Section
Case Reports
Keywords:
Systemic lupus erythematosus, lupus pneumonitis, autoimmune systemic disease, intensive care unit.
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How to Cite
Aggarwal, H., Jain, D., Mittal, A., Rao, A., Yadav, R., & Jain, P. (2016). Systemic lupus erythematosus presenting as fulminant lupus pneumonitis: a rare case report. Reumatismo, 68(1), 48-52. https://doi.org/10.4081/reumatismo.2016.846

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