Systemic lupus erythematosus complicating autoimmune pulmonary alveolar proteinosis that was worsened by immunosuppressive therapy.

Abstract:

:A 26-year-old Japanese woman developed autoimmune pulmonary alveolar proteinosis (PAP) during glucocorticoid therapy for systemic lupus erythematosus (SLE). Intensive immunosuppressive therapy worsened the PAP. De-escalation of immunosuppressive therapy improved the PAP. Autoimmune PAP is rarely associated with systemic autoimmune diseases, and the present case is the first case of autoimmune PAP associated with SLE. Moreover, the present case suggests that immunosuppressive therapy should be avoided or used carefully for the treatment of patients with anti-GM-CSF antibody, such as those with autoimmune PAP.

journal_name

Lupus

journal_title

Lupus

authors

Nagasawa J,Kurasawa K,Maezawa R,Owada T,Hanaoka R,Fukuda T

doi

10.1177/0961203313498798

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

1060-3

issue

10

eissn

0961-2033

issn

1477-0962

pii

0961203313498798

journal_volume

22

pub_type

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