Open AccessPulmonary thromboembolism and alveolar hemorrhage as initial manifestations of systemic lupus erythematosus
Author(s) -
Omar Jiménez-Zarazúa,
Lourdes Noemí Vélez-Ramírez,
C. A. Ramírez-Casillas,
Jaime D Mondragón
Publication year - 2022
Publication title -
lupus
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.069
H-Index - 103
eISSN - 1477-0962
pISSN - 0961-2033
DOI - 10.1177/09612033211066481
Subject(s) - medicine , rheumatism , rheumatology , diffuse alveolar hemorrhage , ecchymosis , concomitant , pulmonary hemorrhage , lung , interstitial lung disease , dermatology , pathology
Systemic lupus erythematosus (SLE) is an autoimmune disease that affects multiple organs. SLE can affect the lung, the pulmonary vasculature, and the pleura. A 38-year-old female with limb pain and ecchymosis who later developed pulmonary thromboembolism and alveolar hemorrhage is presented here. Clinical, imaging, laboratory, and histopathological evidence is presented. The patient met the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR) criteria for SLE. Furthermore, the patient had a Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of 35; thus, indicating severe disease. This case is an example of concomitant venous and arterial lung complications in an SLE patient.