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Shrinking Lung Syndrome: A Case Report.

Asma Haji Datoo¹, Loui Abdelghani²

¹Internal Medicine, St. Joseph's Medical Center, Stockton, USA.

|August 30, 2022

Summary

Shrinking Lung Syndrome (SLS), a rare complication of systemic lupus erythematosus (SLE), presents with shortness of breath and chest pain. This case highlights SLS diagnosis and steroid treatment in an SLE patient.

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Area of Science:

Rheumatology
Pulmonology
Internal Medicine

Background:

Shrinking Lung Syndrome (SLS) is an infrequent complication associated with Systemic Lupus Erythematosus (SLE).
SLS is characterized by dyspnea, pleuritic chest pain, and elevated diaphragm, often diagnosed via exclusion.
The exact pathogenesis, treatment, and preventative strategies for SLS remain unclear.

Observation:

A 41-year-old woman with a history of SLE presented with unexplained pleuritic chest pain and shortness of breath.
Diagnostic workup included CTA chest, laboratory tests, chest X-ray, and pulmonary function tests.
These investigations were crucial in ruling out other potential causes for her respiratory symptoms.

Findings:

The patient was diagnosed with Shrinking Lung Syndrome (SLS) based on clinical presentation and diagnostic findings.

Keywords:

diaphragm dysfunction diaphragm injury respiratory paralysis shrinking lung syndrome systemic lupus erythematous disease

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The diagnostic process involved a comprehensive exclusion of alternative conditions.

The diagnosis was confirmed after excluding other causes of dyspnea.

Implications:

This case underscores the importance of considering SLS in SLE patients presenting with respiratory symptoms.
Treatment with corticosteroids was initiated, guided by limited existing research.
Further research is warranted to elucidate SLS pathogenesis and establish definitive treatment protocols.