Open AccessSystemic lupus erythematosus presenting as acute lupus pneumonitis in a young female
Author(s) -
Brajadulal Chattopadhyay,
Argha Chatterjee,
Ananda Maiti,
Nirod Baran Debnath
Publication year - 2015
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.150902
Subject(s) - medicine , systemic lupus erythematosus , malar rash , prednisolone , anti nuclear antibody , pneumonitis , pleural effusion , lupus erythematosus , dermatology , rash , radiological weapon , presentation (obstetrics) , pathology , lung , immunology , antibody , radiology , autoantibody , disease
Acute lupus pneumonitis is a rare initial presentation of systemic lupus erythematosus (SLE). We report a 19-year-old female presenting with fever and recurrent hemoptysis with radiological evidence of parenchymal lung involvement with mild pleural effusion. Subsequent development of malar and discoid rash with anti-nuclear antibodies (ANA) and anti-dsDNA positivity clinched the diagnosis. Her clinical signs and symptoms resolved with a course of intravenous pulse methyl-prednisolone along with radiological resolution.