https://doi.org/10.4081/reumatismo.2016.846

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

Vol. 68 No. 1 (2016)
Submitted: 7 November 2015
Accepted: 29 April 2016
Published: 23 June 2016
Systemic lupus erythematosus, lupus pneumonitis, autoimmune systemic disease, intensive care unit.
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Authors

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.
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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Supporting Agencies

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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

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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