Acute Lupus Pneumonitis Presenting as Multiple Nodular Shadows.

• Kawasaki Akira

  First Department of Internal Medicine, Toyama Medical and Pharmaceutical University

• Ohtatsu Rika

  First Department of Internal Medicine, Toyama Medical and Pharmaceutical University

• Kashii Tatsuhiko

  Department of Internal Medicine, Takagi General Hospital

• Hayase Mitsuru

  Department of Internal Medicine, Takagi General Hospital

• Mizushima Yutaka

  First Department of Internal Medicine, Toyama Medical and Pharmaceutical University

• Kobayashi Masashi

  First Department of Internal Medicine, Toyama Medical and Pharmaceutical University

• Kitagawa Masanobu

  First Department of Pathology, Toyama Medical and Pharmaceutical University

Bibliographic Information

Other Title

• 多発性結節性陰影を伴った急性ループス肺炎の１例

Abstract

A 24-year-old woman consulted a physician because of fever, dry cough, and arthralgia of one month duration. She was transferred to our hospital for more detailed examination of pancytopenia and diffuse infiltrative shadows on a chest X-ray film. On admission she was depressed, and had oral ulcers. Pleural and pericardial effusions were observed. Laboratory studies were positive for anti-nuclear antibody, anti-DNA antibody, and lupus erethymatosus. Casts were found in the urine, and systemic lupus erythematosus was diagnosed. Chest radiography and CT scan showed nodular shadows in the right S8 (2nodules with 1cm diameter) (1cm×2), right S10 (0.5cm diameter), and left S8 (0.5cm diameter) regions, as well as diffuse infiltrative shadows in both lower lung fields. A specimen obtained by transbronchial lung biopsy revealed acute interstitial pneumonia with arteritis. After treatment with prednisolone (60mg/day), the nodular and infiltrative shadows rapidly disappeared. Cases of lupus pneumonitis presenting as noduar shadows are very rare and are valuable in diagnostic imaging.

Journal

• The Japanese journal of thoracic diseases

  The Japanese journal of thoracic diseases 34 (1), 126-131, 1996

  The Japanese Respiratory Society

Keywords

• Systemic lupus erythematosus
• Lupus pneumonitis
• Collagen vascular lung
• Nodular shadow

Details

• CRID: 1390282679994722176
• NII Article ID: 130003678889
• NII Article ID: 10008109383
• NII Book ID: AN00187758
• DOI: 10.11389/jjrs1963.34.126
• ISSN: 1883471X
• ISSN: 03011542
• Web Site: https://search.jamas.or.jp/link/ui/1996160146
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed