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- W2891344813 abstract "Introduction . Diffuse alveolar hemorrhage is a rare presentation of systemic lupus erythematosus. Early diagnosis and appropriate treatment can improve outcome. Case Report . An 18-<?TNQ3b2 thyc=10?>year-old<?TNQ3b2 thyc?> male presented with hemoptysis and respiratory distress requiring orotracheal intubation. Laboratory tests showed positive <?TNQ3b2 thyc=10?>anti-nuclear<?TNQ3b2 thyc?> antibody and <?TNQ3b2 thyc=10?>anti-dsDNA<?TNQ3b2 thyc?> and low C3 and C4. <?TNQ3b2 show $132#?>Bronchoalveolar lavage became progressively hemorrhagic after each aliquot. He was treated with pulse methylprednisolone, cyclophosphamide, and plasma exchanges. Discussion . Alveolar hemorrhage is a rare initial presentation of lupus, with mortality rates reported at about 50%. Lupus should be considered in those presenting with alveolar hemorrhage since delay in therapy may cause a rapid deterioration of the patient. The diagnosis of SLE is illusive when DAH is the presenting symptom. Since early diagnosis and appropriate institution of treatment improve outcome, it is important to keep lupus in mind as an etiology of alveolar hemorrhage. Pulse methylprednisolone, cyclophosphamide, and plasmapheresis therapy resulted in rapid improvement of respiratory function in our patient." @default.
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- W2891344813 date "2018-09-16" @default.
- W2891344813 modified "2023-09-26" @default.
- W2891344813 title "Systemic Lupus Erythematosus Presenting with Alveolar Hemorrhage" @default.
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- W2891344813 doi "https://doi.org/10.1155/2018/8218904" @default.
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