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Isolated acute lupus pneumonitis as the initial presentation of systemic lupus erythematosus in an 8-year-old girl.

Identifieur interne : 000120 ( PubMed/Corpus ); précédent : 000119; suivant : 000121

Isolated acute lupus pneumonitis as the initial presentation of systemic lupus erythematosus in an 8-year-old girl.

Auteurs : Tu Ba I Manlar Eyübo Lu ; Ay E Tana Aslan ; Ye Im Özdemir ; Deniz Gezgin Y Ld R M ; Necla Buyan ; Öznur Boyuna A

Source :

Auto- immunity highlights [ 2038-0305 ] ; 2018.

RBID : pubmed:29589182

Abstract

Systemic lupus erythematosus (SLE) is a systemic autoimmune disease which has broad pleuropulmonary manifestations. One of the rare and mortal complications is acute lupus pneumonitis, which is reported very rarely, especially in childhood. Herein, we report an 8-year-old girl with isolated acute lupus pneumonitis as the initial presentation that required a lung biopsy for diagnosis. Although she had improvement with the administration of steroids, steroid treatment was reduced due to the drug's side effects resulting in the addition of azathioprine and mycophenolate mofetil to the treatment regimen. After the new regimen failed to result in clinical improvement, hydroxychloroquine treatment was started and a significant improvement was observed. Acute lupus pneumonitis is an uncommon manifestation of SLE and diagnosis may be difficult in patients without other organ involvement.

DOI: 10.1007/s13317-018-0104-2
PubMed: 29589182

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pubmed:29589182

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<author><name sortKey=" I Manlar Eyubo Lu, Tu Ba" sort=" I Manlar Eyubo Lu, Tu Ba" uniqKey=" I Manlar Eyubo Lu T" first="Tu Ba" last=" I Manlar Eyübo Lu">Tu Ba  I Manlar Eyübo Lu</name>
<affiliation><nlm:affiliation>Department of Pediatric Pulmonology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey.</nlm:affiliation>
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<author><name sortKey="Aslan, Ay E Tana" sort="Aslan, Ay E Tana" uniqKey="Aslan A" first="Ay E Tana" last="Aslan">Ay E Tana Aslan</name>
<affiliation><nlm:affiliation>Department of Pediatric Pulmonology, Faculty of Medicine, Gazi University, Ankara, Turkey. aysetugbapp@gmail.com.</nlm:affiliation>
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<author><name sortKey="Ozdemir, Ye Im" sort="Ozdemir, Ye Im" uniqKey="Ozdemir Y" first="Ye Im" last="Özdemir">Ye Im Özdemir</name>
<affiliation><nlm:affiliation>Department of Pediatric Nephrology, Faculty of Medicine, Gazi University, Ankara, Turkey.</nlm:affiliation>
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<author><name sortKey="Gezgin Y Ld R M, Deniz" sort="Gezgin Y Ld R M, Deniz" uniqKey="Gezgin Y Ld R M D" first="Deniz" last="Gezgin Y Ld R M">Deniz Gezgin Y Ld R M</name>
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<author><name sortKey="Buyan, Necla" sort="Buyan, Necla" uniqKey="Buyan N" first="Necla" last="Buyan">Necla Buyan</name>
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<author><name sortKey="Boyuna A, Oznur" sort="Boyuna A, Oznur" uniqKey="Boyuna A O" first="Öznur" last="Boyuna A">Öznur Boyuna A</name>
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<front><div type="abstract" xml:lang="en">Systemic lupus erythematosus (SLE) is a systemic autoimmune disease which has broad pleuropulmonary manifestations. One of the rare and mortal complications is acute lupus pneumonitis, which is reported very rarely, especially in childhood. Herein, we report an 8-year-old girl with isolated acute lupus pneumonitis as the initial presentation that required a lung biopsy for diagnosis. Although she had improvement with the administration of steroids, steroid treatment was reduced due to the drug's side effects resulting in the addition of azathioprine and mycophenolate mofetil to the treatment regimen. After the new regimen failed to result in clinical improvement, hydroxychloroquine treatment was started and a significant improvement was observed. Acute lupus pneumonitis is an uncommon manifestation of SLE and diagnosis may be difficult in patients without other organ involvement.</div>
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<Abstract><AbstractText>Systemic lupus erythematosus (SLE) is a systemic autoimmune disease which has broad pleuropulmonary manifestations. One of the rare and mortal complications is acute lupus pneumonitis, which is reported very rarely, especially in childhood. Herein, we report an 8-year-old girl with isolated acute lupus pneumonitis as the initial presentation that required a lung biopsy for diagnosis. Although she had improvement with the administration of steroids, steroid treatment was reduced due to the drug's side effects resulting in the addition of azathioprine and mycophenolate mofetil to the treatment regimen. After the new regimen failed to result in clinical improvement, hydroxychloroquine treatment was started and a significant improvement was observed. Acute lupus pneumonitis is an uncommon manifestation of SLE and diagnosis may be difficult in patients without other organ involvement.</AbstractText>
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Isolated acute lupus pneumonitis as the initial presentation of systemic lupus erythematosus in an 8-year-old girl.

Isolated acute lupus pneumonitis as the initial presentation of systemic lupus erythematosus in an 8-year-old girl.

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