eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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5/2016
vol. 54
 
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abstract:
Case report

Alveolar hemorrhage as the initial presentation of systemic lupus erythematosus

Bruna A. de Holanda
,
Isabela G. Menna Barreto
,
Isadora S. Gomes de Araujo
,
Daniel B. de Araujo

Reumatologia 2016; 54, 5: 264-266
Online publish date: 2016/11/28
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Alveolar hemorrhage (AH) is a rare syndrome that can often occur in autoimmune diseases, blood clotting disorders, infection or by acute inhalation injury, presenting rapid evolution and high mortality, especially with late diagnosis and treatment. Among the autoimmune diseases, there are reported cases in patients with primary antiphospholipid syndrome (PAPS), vasculitis and systemic lupus erythematosus (SLE). An early diagnosis is an essential tool in the successful management of this complication, requiring aggressive treatment based on vigorous immunosuppression and broad-spectrum antibiotic. We describe here a case of alveolar hemorrhage associated with glomerulonephritis as the open presentation in a patient with SLE.
keywords:

systemic lupus erythematosus, respiratory insufficiency, alveolar hemorrhage, lung disease



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