Cytomegalovirus infection in Systemic Lupus Erythematosus: report of four cases challenging the management of the disease, and literature review.

Abstract:

:Cytomegalovirus (CMV) is particularly dangerous in systemic lupus erythematosus (SLE), being a problem both for the differential diagnosis with disease flare and for the management of SLE flare with immunosuppressive drugs. We report on four cases of SLE with concomitant CMV infection, having some common clinical and laboratory characteristics. Our data suggest that lupus patients presenting with symptoms such as fever, diarrhea, and respiratory symptoms, alone or in combination, and laboratory evidence of leukopenia, elevated transaminases, and hyponatremia, especially in the setting of recent immunosuppressive treatments, should be screened for CMV.

journal_name

Lupus

journal_title

Lupus

authors

Sebastiani GD,Iuliano A,Canofari C,Bracci M

doi

10.1177/0961203319825570

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

432-437

issue

3

eissn

0961-2033

issn

1477-0962

journal_volume

28

pub_type

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