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Indwelling pleural catheter and successful autopleurodesis of refractory inflammatory lupus effusion

Boon Hau Ng1, Nik Nuratiqah Nik Abeed1, Mohamed Faisal Abdul Hamid1

  • 1Pulmonology Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia Medical Centre Kuala Lumpur Malaysia.

Respirology Case Reports
|July 21, 2020
PubMed

Indwelling pleural catheter (IPC) is a useful tool for refractory malignant pleural effusions (MPEs). It allows palliation by intermittent symptomatic relief of the effusion and improves quality of life. Its use in benign pleural effusions comes mainly from retrospective studies, case series, and case reports. Lupus effusion is common, causes minimal symptoms, and usually responds to either steroid therapy or immunosuppressants. Refractory lupus effusion is less common and treatment may require invasive surgical pleurectomy. We describe a 52-year-old woman whose first presentation of systemic lupus erythematosus (SLE) was a pleural effusion refractory to steroids and immunosuppressants. She successfully achieved spontaneous pleurodesis with intermittent IPC drainage at three months.

Keywords:
Indwelling pleural catheterlupus effusionspontaneous pleurodesissystemic lupus erythematosus

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