Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)
Bharat Bajantri, Binita Sapkota, Sindhaghatta Venkatram
Division of Pulmonary and Critical Care, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA
Am J Case Rep 2018; 19:218-223
Diffuse alveolar hemorrhage (DAH) is a life-threatening disorder resulting in hemorrhage into the lungs due to a variety of reasons. The underlying etiology for DAH is broadly divided into immune and non-immune mediated causes. Rheumatological disorders account for a small number of cases. Although hemoptysis is one of the alarming symptoms of DAH, it is absent in a third of the cases. Diagnosis often requires a conglomerate of history, clinical, and laboratory investigation and radiological studies.
CASE REPORT: We describe a case of a 31-year-old female who had an atypical presentation of systemic lupus erythematosus (SLE) with primary lung involvement/DAH and no other organ involvement.
CONCLUSIONS: This case report illustrates the importance of awareness and early recognition of the complication that can prevent mortality.
Keywords: Bronchoalveolar Lavage Fluid, Hemorrhage, Lupus Erythematosus, Systemic