A Fatal Case of Massive Pulmonary Hemorrhage After a 20-Year History of Systemic Lupus Erythematosus
A 36-year-old female was hospitalized due to hemoptysis and severe respiratory failure with sudden onset. Twenty years prior to admission, systemic lupus erythematosus (SLE) had been diagnosed. Chest X-ray film revealed extensive infiltrates in both lung fields. She was treated with “pulse” methylpr...
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| Published in | Nihon Kyōbu Shikkan Gakkai zasshi Vol. 25; no. 11; pp. 1236 - 1241 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan
The Japanese Respiratory Society
01.11.1987
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0301-1542 1883-471X |
| DOI | 10.11389/jjrs1963.25.1236 |
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| Abstract | A 36-year-old female was hospitalized due to hemoptysis and severe respiratory failure with sudden onset. Twenty years prior to admission, systemic lupus erythematosus (SLE) had been diagnosed. Chest X-ray film revealed extensive infiltrates in both lung fields. She was treated with “pulse” methylprednisolone therapy because it was judged that this hemorrhage was complicated with SLE. After a transient remission for a few weeks, she died of recurrent intrapulmonary hemorrhage on the 30th hospital day. Autopsy findings showed diffuse hemorrhage in the alveolar spaces without alveolitis. Immunofluorescence studies revealed granular deposition of IgG on glomerular capillary of the basement membranes in kidneys, but no immunoglobulin deposition in lungs. |
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| AbstractList | A 36-year-old female was hospitalized due to hemoptysis and severe respiratory failure with sudden onset. Twenty years prior to admission, systemic lupus erythematosus (SLE) had been diagnosed. Chest X-ray film revealed extensive infiltrates in both lung fields. She was treated with “pulse” methylprednisolone therapy because it was judged that this hemorrhage was complicated with SLE. After a transient remission for a few weeks, she died of recurrent intrapulmonary hemorrhage on the 30th hospital day. Autopsy findings showed diffuse hemorrhage in the alveolar spaces without alveolitis. Immunofluorescence studies revealed granular deposition of IgG on glomerular capillary of the basement membranes in kidneys, but no immunoglobulin deposition in lungs. |
| Author | Danbara, Takashi Kanemitsu, Toshinao Morikawa, Yasue Yoshimine, Fujio Kira, Shiro Inatomi, Keiko |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/3449681$$D View this record in MEDLINE/PubMed |
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| References | 9) 高林克日己, 小池隆夫, 松村竜太郎, 富岡久夫, 吉田尚, 藤田明, 金子昇, 長尾啓一: 気管支肺胞洗浄により診断し得たSLEによる肺胞出血の1例. 日胸疾会誌, 25: 262, 1987. 4) Purnell, D. C., Baggenstoss, A. H. & Olsen, A. M.: Pulmonary lesions in disseminated lupus erythematosus. Ann. Intern. Med., 42: 619, 1955. 1) Pines, A., Kaplinsky, N., Olchovsky, D., Rozenman, J. & Frankl, O.: Pleuro-pulmonary manifestations of systemic lupus erythematosus: Clinical features of its subgroups. Prognostic and threpeutic implications. Chest, 88: 129, 1985. 2) Haupt, H. M., Moore, G. W. & Hutchins, G. M.: The lung in systemic lupus erythematosus. Analysis of the pathologic changes in 120 patients. Am. J. Med., 71: 791, 1981. 6) Gould, D. B. & Soriano, R. Z.: Acute alveolar hemorrhage in lupus erythematosus. Ann. Intern. Med., 83: 836, 1975. 3) Osler, W.: On the visceral manifestations of the erythema group of skin diseases. Am. J. Med. Sci., 127: 1, 1904. 7) 堀内孝至, 松浦真理子, 大熊招晴, 阿部幹雄, 荻原照久, 長尾光修, 守田浩一, 内山照雄, 岡安大仁, 中本譲, 根本則道: 著しい肺胞内出血で急死したSLEの1剖検例. 日胸, 42: 166, 1982. 5) Desnoyers, M. R., Bernstein, S., Cooper, A. G. & Kopelman, R. I.: Pulmonary hemorrhage in lupus erythematosus without evidence of an immunologic cause. Arch. Intern. Med., 144: 1398, 1984. 8) Marino, C. T. & Pertshuk, L. P.: Pulmonary hemorrhage in systemic lupus erythmatosus. Arch. Intern. Med., 141: 201, 1981. |
| References_xml | – reference: 1) Pines, A., Kaplinsky, N., Olchovsky, D., Rozenman, J. & Frankl, O.: Pleuro-pulmonary manifestations of systemic lupus erythematosus: Clinical features of its subgroups. Prognostic and threpeutic implications. Chest, 88: 129, 1985. – reference: 7) 堀内孝至, 松浦真理子, 大熊招晴, 阿部幹雄, 荻原照久, 長尾光修, 守田浩一, 内山照雄, 岡安大仁, 中本譲, 根本則道: 著しい肺胞内出血で急死したSLEの1剖検例. 日胸, 42: 166, 1982. – reference: 8) Marino, C. T. & Pertshuk, L. P.: Pulmonary hemorrhage in systemic lupus erythmatosus. Arch. Intern. Med., 141: 201, 1981. – reference: 9) 高林克日己, 小池隆夫, 松村竜太郎, 富岡久夫, 吉田尚, 藤田明, 金子昇, 長尾啓一: 気管支肺胞洗浄により診断し得たSLEによる肺胞出血の1例. 日胸疾会誌, 25: 262, 1987. – reference: 3) Osler, W.: On the visceral manifestations of the erythema group of skin diseases. Am. J. Med. Sci., 127: 1, 1904. – reference: 4) Purnell, D. C., Baggenstoss, A. H. & Olsen, A. M.: Pulmonary lesions in disseminated lupus erythematosus. Ann. Intern. Med., 42: 619, 1955. – reference: 2) Haupt, H. M., Moore, G. W. & Hutchins, G. M.: The lung in systemic lupus erythematosus. Analysis of the pathologic changes in 120 patients. Am. J. Med., 71: 791, 1981. – reference: 5) Desnoyers, M. R., Bernstein, S., Cooper, A. G. & Kopelman, R. I.: Pulmonary hemorrhage in lupus erythematosus without evidence of an immunologic cause. Arch. Intern. Med., 144: 1398, 1984. – reference: 6) Gould, D. B. & Soriano, R. Z.: Acute alveolar hemorrhage in lupus erythematosus. Ann. Intern. Med., 83: 836, 1975. |
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| SubjectTerms | Adult Female Hemorrhage - etiology Hemorrhage - pathology Humans Lung - pathology Lung Diseases - etiology Lung Diseases - pathology Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - pathology Pulmonary hemorrhage Systemic lupus erythematosus |
| Title | A Fatal Case of Massive Pulmonary Hemorrhage After a 20-Year History of Systemic Lupus Erythematosus |
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