Development of Diffuse Alveolar Hemorrhage during Maintenance Therapy for Systemic Lupus Erythematosus: a Case Report

DOI
  • Horai Yoshiro
    Department of Rheumatology, National Hospital Organization Nagasaki Medical Center Clinical Research Center, National Hospital Organization Nagasaki Medical Center
  • Michitsuji Tohru
    Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center
  • Chikamatsu Genki
    Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center
  • Moritsuka Tomoya
    Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center
  • Torisu Yuichi
    Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center
  • Izumi Yasumori
    Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center
  • Iwanaga Nozomi
    Department of Rheumatology, National Hospital Organization Nagasaki Medical Center
  • Kubota Yoshifumi
    Department of Emergency Medicine, National Hospital Organization Nagasaki Medical Center
  • Iwanaga Naoki
    Department of Respiratory Medicine, National Hospital Organization Nagasaki Medical Center

Bibliographic Information

Other Title
  • 全身性エリテマトーデスに対する維持療法中に発症したびまん性肺胞出血の1例

Abstract

<p>  A man in his sixties with systemic lupus erythematosus（SLE）developed diffuse alveolar hemorrhage（DAH）during low-dose oral prednisolone maintenance therapy. Although typical manifestations of DAH, such as severe hypoxemia and hemoptysis, were not apparent on admission, the patient developed respiratory failure after 3 days of admission; a bronchoalveolar fluid analysis confirmed the diagnosis of DAH. The study results indicate that physicians should be cautious about the possibility of DAH occurring in SLE patients who develop new respiratory symptoms, and consider further examination, including bronchoscopy.</p>

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Details 詳細情報について

  • CRID
    1390564238096338944
  • NII Article ID
    130007657461
  • DOI
    10.14961/cra.30.175
  • ISSN
    21890595
    09148760
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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