Pneumology - Case Reports
June 6, 2019
Vol. 89 No. 2 (2019)
An uncommon cause of diffuse alveolar hemorrhage in a young male
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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It is uncommon for Systemic lupus erythematosus (SLE) to present with diffuse alveolar hemorrhage (DAH) as the initial presentation. To diagnose this in a young male with no renal involvement is further uncommon. We report a case of a 16-year-old boy, who presented with hemoptysis and was eventually diagnosed as DAH with underlying SLE. Treatment with steroids and immunosuppressant helped in rapid recovery from this potentially life-threatening condition. This case highlights the need of defining diagnostic criteria for SLE in patients presenting as DAH and formulating guidelines for treatment of the same, especially in absence of co-existing lupus nephritis.
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“An Uncommon Cause of Diffuse Alveolar Hemorrhage in a Young Male”. 2019. Monaldi Archives for Chest Disease 89 (2). https://doi.org/10.4081/monaldi.2019.1067.