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Acute Pulmonary Edema as the Initial Hospital Presentation of Systemic Lupus Erythematosus

Acute Pulmonary Edema as the Initial Hospital Presentation of Systemic Lupus Erythematosus Abstract Acute pulmonary edema is an unusual initial presentation for systemic lupus erythematosus. A 46-year-old woman required intensive care for life-threatening pulmonary edema of unknown etiology, which was unresponsive to conventional treatment. Her condition improved only when pulse corticosteroid therapy was initiated, with clinical and echocardiographic improvement in cardiac function. The diagnosis of systemic lupus erythematosus was then made, based on immunologic tests and renal biopsy. The patient's condition remained stable only with continuation of appropriate therapy for systemic lupus erythematosus. (Arch Intern Med. 1994;154:453-456) References 1. Tan EM, Cohen AS, Fries JF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus . Arthritis Rheum. 1982;25: 1271-1277.Crossref 2. Doherty NE, Feldman G, Maurer G, Siegel R. Echocardiographic findings in systemic lupus erythematosus . Am J Cardiol. 1988;61:1144.Crossref 3. Klinkhoff AV, Thompson CR, Reid GD, Tomlinson CW. M-mode and two-dimensional echo-cardiographic abnormalities in systemic lupus erythematosus . JAMA . 1985;253:3273-3277.Crossref 4. Mandell BF. Cardiovascular involvement in systemic lupus erythematosus . Semin Arthritis Rheum. 1987;17:126-141.Crossref 5. Gur H, Keren G, Averbuch M, Levo Y. Severe congestive lupus cardiomyopathy complicated by an intracavitary thrombus . J Rheumatol. 1988; 15:1278-1280. 6. Berg G, Bodet J, Webb K, et al. Systemic lupus erythematosus presenting as isolated congestive heart failure . J Rheumatol. 1985;12:1182-1185. 7. Ansari A, Larson PH, Bates HD. Cardiovascular manifestations of systemic lupus erythematosus . Prog Cardiovasc Dis. 1985;6:421-434.Crossref 8. Lien FWK, Mathew TH, Meadows R. Acute post-streptococcal glomerulonephritis in adults . Q J Med. 1979;189:99-111. 9. Baldwin DS, Gluck MC, Schacht RG, Gallo G. The long-term course of poststreptococcal glomerulonephritis . Ann Intern Med. 1974;80:342-358.Crossref 10. Nissenson AR, Baraff LJ, Fine RN, Knutson DW. Poststreptococcal acute glomerulonephritis . Ann Intern Med. 1979;91:76-86.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Acute Pulmonary Edema as the Initial Hospital Presentation of Systemic Lupus Erythematosus

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1994.00420040133016
Publisher site
See Article on Publisher Site

Abstract

Abstract Acute pulmonary edema is an unusual initial presentation for systemic lupus erythematosus. A 46-year-old woman required intensive care for life-threatening pulmonary edema of unknown etiology, which was unresponsive to conventional treatment. Her condition improved only when pulse corticosteroid therapy was initiated, with clinical and echocardiographic improvement in cardiac function. The diagnosis of systemic lupus erythematosus was then made, based on immunologic tests and renal biopsy. The patient's condition remained stable only with continuation of appropriate therapy for systemic lupus erythematosus. (Arch Intern Med. 1994;154:453-456) References 1. Tan EM, Cohen AS, Fries JF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus . Arthritis Rheum. 1982;25: 1271-1277.Crossref 2. Doherty NE, Feldman G, Maurer G, Siegel R. Echocardiographic findings in systemic lupus erythematosus . Am J Cardiol. 1988;61:1144.Crossref 3. Klinkhoff AV, Thompson CR, Reid GD, Tomlinson CW. M-mode and two-dimensional echo-cardiographic abnormalities in systemic lupus erythematosus . JAMA . 1985;253:3273-3277.Crossref 4. Mandell BF. Cardiovascular involvement in systemic lupus erythematosus . Semin Arthritis Rheum. 1987;17:126-141.Crossref 5. Gur H, Keren G, Averbuch M, Levo Y. Severe congestive lupus cardiomyopathy complicated by an intracavitary thrombus . J Rheumatol. 1988; 15:1278-1280. 6. Berg G, Bodet J, Webb K, et al. Systemic lupus erythematosus presenting as isolated congestive heart failure . J Rheumatol. 1985;12:1182-1185. 7. Ansari A, Larson PH, Bates HD. Cardiovascular manifestations of systemic lupus erythematosus . Prog Cardiovasc Dis. 1985;6:421-434.Crossref 8. Lien FWK, Mathew TH, Meadows R. Acute post-streptococcal glomerulonephritis in adults . Q J Med. 1979;189:99-111. 9. Baldwin DS, Gluck MC, Schacht RG, Gallo G. The long-term course of poststreptococcal glomerulonephritis . Ann Intern Med. 1974;80:342-358.Crossref 10. Nissenson AR, Baraff LJ, Fine RN, Knutson DW. Poststreptococcal acute glomerulonephritis . Ann Intern Med. 1979;91:76-86.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 28, 1994

References