Open AccessAn uncommon cause of diffuse alveolar hemorrhage in a young male
Author(s) -
Anshul Mittal,
Jagdish Chander Suri,
Shibdas Chakrabarti,
Pranav Ish
Publication year - 2019
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2019.1067
Subject(s) - diffuse alveolar hemorrhage , medicine , lupus nephritis , presentation (obstetrics) , intensive care medicine , dermatology , surgery , pediatrics , pathology , disease
It is uncommon for Systemic lupus erythematosus (SLE) to present with diffuse alveolar hemorrhage (DAH) as the initial presentation. To diagnose this in a young male with no renal involvement is further uncommon. We report a case of a 16-year-old boy, who presented with hemoptysis and was eventually diagnosed as DAH with underlying SLE. Treatment with steroids and immunosuppressant helped in rapid recovery from this potentially life-threatening condition. This case highlights the need of defining diagnostic criteria for SLE in patients presenting as DAH and formulating guidelines for treatment of the same, especially in absence of co-existing lupus nephritis.