DANIEL B. GOULD, M.D.; RAYMOND Z. SORIANO, M.D.
Acute pulmonary hemorrhage is a clinical complication of systemic lupus erythematosus rarely described. One report has described the case of a man who presented with hemoptysis as the initial manifestation and died of uncontrollable hemoptysis after 5 months; electron microscopic study of his lung biopsy showed electron-dense intramembranous deposits within alveolar capillary basement membranes (1). Another case study concerned a woman whose 20-month course of lupus erythematosus began with dyspnea; massive pulmonary hemosiderosis was the main autopsy finding (2). Lupus erythematosus has also been reported in association with diffuse pulmonary hemorrhage fatal in 9 days (3).
The patient we describe
GOULD DB, SORIANO RZ. Acute Alveolar Hemorrhage in Lupus Erythematosus. Ann Intern Med. ;83:836–837. doi: 10.7326/0003-4819-83-6-836
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Published: Ann Intern Med. 1975;83(6):836-837.
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