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
Lupusjournal_title
Lupusauthors
Al Rashidi A,Alajmi M,Hegazi MOdoi
10.1177/0961203311411353subject
Has Abstractpub_date
2011-12-01 00:00:00pages
1551-3issue
14eissn
0961-2033issn
1477-0962pii
0961203311411353journal_volume
20pub_type
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