Pulmonary hemorrhage in a patient initially presenting with discoid lupus.
Identifieur interne : 001110 ( Main/Exploration ); précédent : 001109; suivant : 001111Pulmonary hemorrhage in a patient initially presenting with discoid lupus.
Auteurs : Karina Vilá-Rivera ; Esther Jiménez-Encarnaci N [Porto Rico] ; Salvador ViláSource :
- Puerto Rico health sciences journal [ 0738-0658 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Antibactériens (usage thérapeutique), Biopsie, Bronchopneumonie (diagnostic), Chirurgie thoracique vidéoassistée, Dyspnée (étiologie), Erreurs de diagnostic, Femelle, Humains, Hydroxychloroquine (usage thérapeutique), Hémorragie (anatomopathologie), Hémorragie (imagerie diagnostique), Hémorragie (sang), Hémorragie (étiologie), Leucopénie (étiologie), Lupus érythémateux chronique (), Lupus érythémateux disséminé (), Maladies pulmonaires (anatomopathologie), Maladies pulmonaires (imagerie diagnostique), Maladies pulmonaires (sang), Maladies pulmonaires (étiologie), Prednisone (usage thérapeutique), Radiographie, Évolution de la maladie.
- MESH :
- anatomopathologie : Hémorragie, Maladies pulmonaires.
- diagnostic : Bronchopneumonie.
- imagerie diagnostique : Hémorragie, Maladies pulmonaires.
- sang : Hémorragie, Maladies pulmonaires.
- usage thérapeutique : Antibactériens, Hydroxychloroquine, Prednisone.
- étiologie : Dyspnée, Hémorragie, Leucopénie, Maladies pulmonaires.
- Adulte, Biopsie, Chirurgie thoracique vidéoassistée, Erreurs de diagnostic, Femelle, Humains, Lupus érythémateux chronique, Lupus érythémateux disséminé, Radiographie, Évolution de la maladie.
English descriptors
- KwdEn :
- Adult, Anti-Bacterial Agents (therapeutic use), Biopsy, Bronchopneumonia (diagnosis), Diagnostic Errors, Disease Progression, Dyspnea (etiology), Female, Hemorrhage (blood), Hemorrhage (diagnostic imaging), Hemorrhage (etiology), Hemorrhage (pathology), Humans, Hydroxychloroquine (therapeutic use), Leukopenia (etiology), Lung Diseases (blood), Lung Diseases (diagnostic imaging), Lung Diseases (etiology), Lung Diseases (pathology), Lupus Erythematosus, Discoid (complications), Lupus Erythematosus, Systemic (complications), Prednisone (therapeutic use), Radiography, Thoracic Surgery, Video-Assisted.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Hydroxychloroquine, Prednisone.
- blood : Hemorrhage, Lung Diseases.
- complications : Lupus Erythematosus, Discoid, Lupus Erythematosus, Systemic.
- diagnosis : Bronchopneumonia.
- diagnostic imaging : Hemorrhage, Lung Diseases.
- etiology : Dyspnea, Hemorrhage, Leukopenia, Lung Diseases.
- pathology : Hemorrhage, Lung Diseases.
- Adult, Biopsy, Diagnostic Errors, Disease Progression, Female, Humans, Radiography, Thoracic Surgery, Video-Assisted.
Abstract
As a cutaneous variant of lupus erythematosus, discoid lupus erythematosus (DLE) is thought to have a good prognosis; however, the involvement of internal organs with a transition to systemic disease may occur. The progression from DLE to systemic lupus erythematosus has been reported in up to 28% of patients. This progression to systemic disease has been associated with a benign course. Herein, we report the case of a 31-year-old woman with a 10-year history of discoid lupus, now presenting with dyspnea and pleuritic chest pain of 1 month's duration. A significant drop in hemoglobin and hematocrit levels was observed in association with leukopenia, lymphopenia, a positive ANA, and hypocomplementemia. Chest radiography and computed tomography revealed bilateral infiltrates. An open lung biopsy confirmed the presence of intra-alveolar hemorrhage. Based on the results of the tests and analyses detailed herein, a diagnosis of pulmonary hemorrhage secondary to systemic lupus erythematosus was made. To our knowledge, pulmonary hemorrhage as the initial manifestation of the systemic involvement of discoid lupus has not been reported before.
PubMed: 24397219
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000307
- to stream PubMed, to step Curation: 000307
- to stream PubMed, to step Checkpoint: 000319
- to stream Ncbi, to step Merge: 000234
- to stream Ncbi, to step Curation: 000234
- to stream Ncbi, to step Checkpoint: 000234
- to stream Main, to step Merge: 001111
- to stream Main, to step Curation: 001110
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pulmonary hemorrhage in a patient initially presenting with discoid lupus.</title><author><name sortKey="Vila Rivera, Karina" sort="Vila Rivera, Karina" uniqKey="Vila Rivera K" first="Karina" last="Vilá-Rivera">Karina Vilá-Rivera</name></author><author><name sortKey="Jimenez Encarnaci N, Esther" sort="Jimenez Encarnaci N, Esther" uniqKey="Jimenez Encarnaci N E" first="Esther" last="Jiménez-Encarnaci N">Esther Jiménez-Encarnaci N</name><affiliation wicri:level="1"><nlm:affiliation>Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.</nlm:affiliation><country xml:lang="fr">Porto Rico</country><wicri:regionArea>Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan</wicri:regionArea><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Vila, Salvador" sort="Vila, Salvador" uniqKey="Vila S" first="Salvador" last="Vilá">Salvador Vilá</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24397219</idno><idno type="pmid">24397219</idno><idno type="wicri:Area/PubMed/Corpus">000307</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000307</idno><idno type="wicri:Area/PubMed/Curation">000307</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000307</idno><idno type="wicri:Area/PubMed/Checkpoint">000319</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000319</idno><idno type="wicri:Area/Ncbi/Merge">000234</idno><idno type="wicri:Area/Ncbi/Curation">000234</idno><idno type="wicri:Area/Ncbi/Checkpoint">000234</idno><idno type="wicri:doubleKey">0738-0658:2013:Vila Rivera K:pulmonary:hemorrhage:in</idno><idno type="wicri:Area/Main/Merge">001111</idno><idno type="wicri:Area/Main/Curation">001110</idno><idno type="wicri:Area/Main/Exploration">001110</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pulmonary hemorrhage in a patient initially presenting with discoid lupus.</title><author><name sortKey="Vila Rivera, Karina" sort="Vila Rivera, Karina" uniqKey="Vila Rivera K" first="Karina" last="Vilá-Rivera">Karina Vilá-Rivera</name></author><author><name sortKey="Jimenez Encarnaci N, Esther" sort="Jimenez Encarnaci N, Esther" uniqKey="Jimenez Encarnaci N E" first="Esther" last="Jiménez-Encarnaci N">Esther Jiménez-Encarnaci N</name><affiliation wicri:level="1"><nlm:affiliation>Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.</nlm:affiliation><country xml:lang="fr">Porto Rico</country><wicri:regionArea>Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan</wicri:regionArea><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Vila, Salvador" sort="Vila, Salvador" uniqKey="Vila S" first="Salvador" last="Vilá">Salvador Vilá</name></author></analytic><series><title level="j">Puerto Rico health sciences journal</title><idno type="ISSN">0738-0658</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-Bacterial Agents (therapeutic use)</term><term>Biopsy</term><term>Bronchopneumonia (diagnosis)</term><term>Diagnostic Errors</term><term>Disease Progression</term><term>Dyspnea (etiology)</term><term>Female</term><term>Hemorrhage (blood)</term><term>Hemorrhage (diagnostic imaging)</term><term>Hemorrhage (etiology)</term><term>Hemorrhage (pathology)</term><term>Humans</term><term>Hydroxychloroquine (therapeutic use)</term><term>Leukopenia (etiology)</term><term>Lung Diseases (blood)</term><term>Lung Diseases (diagnostic imaging)</term><term>Lung Diseases (etiology)</term><term>Lung Diseases (pathology)</term><term>Lupus Erythematosus, Discoid (complications)</term><term>Lupus Erythematosus, Systemic (complications)</term><term>Prednisone (therapeutic use)</term><term>Radiography</term><term>Thoracic Surgery, Video-Assisted</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Antibactériens (usage thérapeutique)</term><term>Biopsie</term><term>Bronchopneumonie (diagnostic)</term><term>Chirurgie thoracique vidéoassistée</term><term>Dyspnée (étiologie)</term><term>Erreurs de diagnostic</term><term>Femelle</term><term>Humains</term><term>Hydroxychloroquine (usage thérapeutique)</term><term>Hémorragie (anatomopathologie)</term><term>Hémorragie (imagerie diagnostique)</term><term>Hémorragie (sang)</term><term>Hémorragie (étiologie)</term><term>Leucopénie (étiologie)</term><term>Lupus érythémateux chronique ()</term><term>Lupus érythémateux disséminé ()</term><term>Maladies pulmonaires (anatomopathologie)</term><term>Maladies pulmonaires (imagerie diagnostique)</term><term>Maladies pulmonaires (sang)</term><term>Maladies pulmonaires (étiologie)</term><term>Prednisone (usage thérapeutique)</term><term>Radiographie</term><term>Évolution de la maladie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term><term>Hydroxychloroquine</term><term>Prednisone</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Hémorragie</term><term>Maladies pulmonaires</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Hemorrhage</term><term>Lung Diseases</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lupus Erythematosus, Discoid</term><term>Lupus Erythematosus, Systemic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Bronchopneumonia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Bronchopneumonie</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Hemorrhage</term><term>Lung Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dyspnea</term><term>Hemorrhage</term><term>Leukopenia</term><term>Lung Diseases</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Hémorragie</term><term>Maladies pulmonaires</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Hemorrhage</term><term>Lung Diseases</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Hémorragie</term><term>Maladies pulmonaires</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antibactériens</term><term>Hydroxychloroquine</term><term>Prednisone</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dyspnée</term><term>Hémorragie</term><term>Leucopénie</term><term>Maladies pulmonaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Biopsy</term><term>Diagnostic Errors</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Radiography</term><term>Thoracic Surgery, Video-Assisted</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Biopsie</term><term>Chirurgie thoracique vidéoassistée</term><term>Erreurs de diagnostic</term><term>Femelle</term><term>Humains</term><term>Lupus érythémateux chronique</term><term>Lupus érythémateux disséminé</term><term>Radiographie</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">As a cutaneous variant of lupus erythematosus, discoid lupus erythematosus (DLE) is thought to have a good prognosis; however, the involvement of internal organs with a transition to systemic disease may occur. The progression from DLE to systemic lupus erythematosus has been reported in up to 28% of patients. This progression to systemic disease has been associated with a benign course. Herein, we report the case of a 31-year-old woman with a 10-year history of discoid lupus, now presenting with dyspnea and pleuritic chest pain of 1 month's duration. A significant drop in hemoglobin and hematocrit levels was observed in association with leukopenia, lymphopenia, a positive ANA, and hypocomplementemia. Chest radiography and computed tomography revealed bilateral infiltrates. An open lung biopsy confirmed the presence of intra-alveolar hemorrhage. Based on the results of the tests and analyses detailed herein, a diagnosis of pulmonary hemorrhage secondary to systemic lupus erythematosus was made. To our knowledge, pulmonary hemorrhage as the initial manifestation of the systemic involvement of discoid lupus has not been reported before.</div></front></TEI><affiliations><list><country><li>Porto Rico</li></country></list><tree><noCountry><name sortKey="Vila Rivera, Karina" sort="Vila Rivera, Karina" uniqKey="Vila Rivera K" first="Karina" last="Vilá-Rivera">Karina Vilá-Rivera</name><name sortKey="Vila, Salvador" sort="Vila, Salvador" uniqKey="Vila S" first="Salvador" last="Vilá">Salvador Vilá</name></noCountry><country name="Porto Rico"><noRegion><name sortKey="Jimenez Encarnaci N, Esther" sort="Jimenez Encarnaci N, Esther" uniqKey="Jimenez Encarnaci N E" first="Esther" last="Jiménez-Encarnaci N">Esther Jiménez-Encarnaci N</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/ChloroquineV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001110 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001110 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= ChloroquineV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:24397219
|texte= Pulmonary hemorrhage in a patient initially presenting with discoid lupus.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24397219" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a ChloroquineV1
| This area was generated with Dilib version V0.6.33. |  |