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Published on: June 8, 2022
Severe pulmonary hemorrhage as the initial manifestation in systemic lupus erythematosus with active nephritis
1Department of Pediatrics, Veterans General Hospital, Kaohsiung, Taiwan, Republic of China.
Abstract:
Pulmonary hemorrhage (PH) is an uncommon clinical manifestation of patients with systemic lupus erythematosus (SLE). In this report, we describe a 14-year-old male with PH as the sole clinical manifestation of his SLE. Kidney biopsy was performed and the report revealed lupus nephritis class IVb. He demonstrated a rapid clinical response to the therapy of intravenous pulse methylprednisolone. Awareness of the possibility of PH as a sole clinical presentation of SLE may aid in the diagnosis and early aggressive management of this condition.
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