1. Acute pulmonary edema as the initial hospital presentation of systemic lupus erythematosus
- Author
-
David D. Bercovitch, Marie Brisson, Michael Davidman, and Susan Freter
- Subjects
Systemic disease ,medicine.medical_specialty ,Biopsy ,Pulmonary Edema ,Kidney ,Electrocardiography ,immune system diseases ,Intensive care ,Edema ,Internal Medicine ,Medicine ,Humans ,Lupus Erythematosus, Systemic ,skin and connective tissue diseases ,Lung ,Lupus erythematosus ,medicine.diagnostic_test ,business.industry ,Respiratory disease ,Middle Aged ,medicine.disease ,Pulmonary edema ,Dermatology ,Surgery ,Radiography ,medicine.anatomical_structure ,Acute Disease ,Immunologic Techniques ,Female ,Renal biopsy ,medicine.symptom ,business - 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)
- Published
- 1994