A 39-Year-Old Woman With Synchronous Endobronchial and Adrenal Tumors

Area of Science:

• Nephrology
• Pulmonology
• Immunology

Background:

• Systemic lupus erythematosus (SLE) can affect multiple organs, including the kidneys.
• End-stage renal disease (ESRD) often necessitates renal transplantation.
• Long-term immunosuppression is crucial for transplant recipients to prevent rejection.

Observation:

• A 39-year-old female, 16 years post-deceased donor renal transplant for SLE-related ESRD, presented with a 2-year history of chronic, nonproductive cough.
• The patient was a lifelong non-smoker.
• Her maintenance medications included prednisone, tacrolimus, mycophenolate mofetil, valacyclovir, clonidine, and metoprolol succinate.

Findings:

• The abstract does not contain specific findings or diagnostic results.
• The focus is on the clinical presentation of a chronic cough in an immunocompromised patient.

Implications:

• Chronic cough can be a presenting symptom of respiratory complications in long-term immunosuppressed renal transplant recipients.
• Further investigation is warranted to determine the etiology of the cough in this patient population.
• This case underscores the importance of considering diverse clinical manifestations in patients with a history of SLE and renal transplantation.