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Diffuse Alveolar Hemorrhage without Extrapulmonary Manifestations: A Rare Presentation of Lupus

Patient: Female, 31 Final Diagnosis: Lupus DAH Symptoms: Shortness of breath Medication: — Clinical Procedure: — Specialty: Pulmonology OBJECTIVE: Unusual clinical course BACKGROUND: Diffuse alveolar hemorrhage (DAH) is a life-threatening disorder resulting in hemorrhage into the lungs due to a vari...

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Detalles Bibliográficos
Autores principales: Bajantri, Bharat, Sapkota, Binita, Venkatram, Sindhaghatta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839422/
https://www.ncbi.nlm.nih.gov/pubmed/29487279
http://dx.doi.org/10.12659/AJCR.907148
Descripción
Sumario:Patient: Female, 31 Final Diagnosis: Lupus DAH Symptoms: Shortness of breath Medication: — Clinical Procedure: — Specialty: Pulmonology OBJECTIVE: Unusual clinical course BACKGROUND: Diffuse alveolar hemorrhage (DAH) is a life-threatening disorder resulting in hemorrhage into the lungs due to a variety of reasons. The underlying etiology for DAH is broadly divided into immune and non-immune mediated causes. Rheumatological disorders account for a small number of cases. Although hemoptysis is one of the alarming symptoms of DAH, it is absent in a third of the cases. Diagnosis often requires a conglomerate of history, clinical, and laboratory investigation and radiological studies. CASE REPORT: We describe a case of a 31-year-old female who had an atypical presentation of systemic lupus erythematosus (SLE) with primary lung involvement/DAH and no other organ involvement. CONCLUSIONS: This case report illustrates the importance of awareness and early recognition of the complication that can prevent mortality.