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- W1752912296 abstract "A Hispanic man with an 11-month history of systemic lupus erythematosus (SLE) was admitted to our hospital for shortness of breath and cough productive of white sputum, fever (38.98C), and pain and stiffness in bilateral knees and elbows associated with warmth and swelling. The patient also complained of anterior chest wall pain for 1 week. Notably, the patient had stopped taking prednisone (prescribed dose, 30 mg daily) approximately 2 1/2 weeks prior to admission. His medical history was contributory for pneumococcal pneumonia (6 months prior to admission) and cerebral vascular accident of the right basal ganglion (4 months prior to admission). Physical examination was notable for right lung crackles, mild diffuse abdominal tenderness, and reduced range of motion in bilateral knee and elbow joints but without effusion. Chest x-ray film showed right middle lobe consolidation (Figure 1). The rapid plasmin reagin test (RPR) was negative. The patient was treated with intravenous solumedrol and hydrocortisone, antibiotics, and ibuprofen. The patient’s pneumonia resolved shortly thereafter, but he subsequently developed diffuse abdominal pain with evidence of peritonitis and progressive decline in hemoglobin (to 46 g/L) despite transfusion of packed red blood cells. An exploratory laparotomy was performed. Intramesenteric and retroperitoneal hemorrhage was found, necessitating partial pancreatectomy and splenec-" @default.
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- W1752912296 date "2000-02-01" @default.
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- W1752912296 title "Pathologic Quiz Case: An Unusual Complication of Systemic Lupus Erythematosus" @default.
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- W1752912296 doi "https://doi.org/10.5858/2000-124-0324-pqc" @default.
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