ACUTE PULMONARY-EDEMA AS THE INITIAL HOSPITAL PRESENTATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS

被引:2
作者
FRETER, S
DAVIDMAN, M
BERCOVITCH, DD
BRISSON, M
机构
[1] MCGILL UNIV, SIR MORTIMER B DAVIS JEWISH GEN HOSP, DEPT MED, DIV NEPHROL, MONTREAL H3T 1E2, PQ, CANADA
[2] MCGILL UNIV, SIR MORTIMER B DAVIS JEWISH GEN HOSP, DEPT PATHOL, MONTREAL H3T 1E2, PQ, CANADA
关键词
D O I
10.1001/archinte.154.4.453
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 initialed, 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.
引用
收藏
页码:453 / 456
页数:4
相关论文
共 10 条
[1]   CARDIOVASCULAR MANIFESTATIONS OF SYSTEMIC LUPUS-ERYTHEMATOSUS - CURRENT PERSPECTIVE [J].
ANSARI, A ;
LARSON, PH ;
BATES, HD .
PROGRESS IN CARDIOVASCULAR DISEASES, 1985, 27 (06) :421-434
[2]   LONG-TERM COURSE OF POSTSTREPTOCOCCAL GLOMERULONEPHRITIS [J].
BALDWIN, DS ;
GLUCK, MC ;
SCHACHT, RG ;
GALLO, G .
ANNALS OF INTERNAL MEDICINE, 1974, 80 (03) :342-358
[3]  
BERG G, 1985, J RHEUMATOL, V12, P1182
[4]   ECHOCARDIOGRAPHIC FINDINGS IN SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
DOHERTY, NE ;
FELDMAN, G ;
MAURER, G ;
SIEGEL, RJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 61 (13) :1144-1144
[5]  
GUR H, 1988, J RHEUMATOL, V15, P1278
[6]   M-MODE AND TWO-DIMENSIONAL ECHOCARDIOGRAPHIC ABNORMALITIES IN SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
KLINKHOFF, AV ;
THOMPSON, CR ;
REID, GD ;
TOMLINSON, CW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 253 (22) :3273-3277
[7]  
LIEN FWK, 1979, Q J MED, V189, P99
[8]   CARDIOVASCULAR INVOLVEMENT IN SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
MANDELL, BF .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 1987, 17 (02) :126-141
[9]   POST-STREPTOCOCCAL ACUTE GLOMERULONEPHRITIS - FACT AND CONTROVERSY [J].
NISSENSON, AR ;
BARAFF, LJ ;
FINE, RN ;
KNUTSON, DW .
ANNALS OF INTERNAL MEDICINE, 1979, 91 (01) :76-86
[10]   SPECIAL ARTICLE - THE 1982 REVISED CRITERIA FOR THE CLASSIFICATION OF SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
TAN, EM ;
COHEN, AS ;
FRIES, JF ;
MASI, AT ;
MCSHANE, DJ ;
ROTHFIELD, NF ;
SCHALLER, JG ;
TALAL, N ;
WINCHESTER, RJ .
ARTHRITIS AND RHEUMATISM, 1982, 25 (11) :1271-1277