Alveolar hemorrhage as the initial presentation of systemic lupus erythematosus
Data nadesłania: 13-09-2016
Data ostatniej rewizji: 27-10-2016
Data akceptacji: 29-10-2016
Data publikacji online: 28-11-2016
Data publikacji: 28-10-2016
Reumatologia 2016;54(5):264-266
Alveolar hemorrhage (AH) is a rare syndrome that can often occur in autoimmune diseases, blood clotting disorders, infection or by acute inhalation injury, presenting rapid evolution and high mortality, especially with late diagnosis and treatment. Among the autoimmune diseases, there are reported cases in patients with primary antiphospholipid syndrome (PAPS), vasculitis and systemic lupus erythematosus (SLE). An early diagnosis is an essential tool in the successful management of this complication, requiring aggressive treatment based on vigorous immunosuppression and broad-spectrum antibiotic. We describe here a case of alveolar hemorrhage associated with glomerulonephritis as the open presentation in a patient with SLE.
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