Mycophenolate mofetil as a maintenance therapy for lupus-related diffuse alveolar hemorrhage: a case report.

Abstract:

:Diffuse alveolar hemorrhage (DAH) is a life-threatening complication of systemic lupus erythematosus (SLE). Cases complicated with DAH often have active SLE with multi-organ involvement, especially lupus nephritis. We describe a rare case of DAH as the first presenting manifestation of SLE in the absence of lupus nephritis. Remission was induced by IV methylprednisolone, IV cyclophosphamide, and plasmapheresis. Further cycles of cyclophosphamide were prevented by recurrent infections. Maintenance of remission was successfully achieved with oral mycophenolate mofetil 1 g twice daily, with a good control of SLE and without further DAH episodes.

journal_name

Lupus

journal_title

Lupus

authors

Al Rashidi A,Alajmi M,Hegazi MO

doi

10.1177/0961203311411353

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1551-3

issue

14

eissn

0961-2033

issn

1477-0962

pii

0961203311411353

journal_volume

20

pub_type

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