Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is one of the most complex rheumatic diseases, which is due to the variety of its clinical forms and manifestations. The article describes a case of severe lung injury (LI) in a female patient with previously undiagnosed and untreated SLE, which led to a fatal outc...

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Main Authors: T. N. Gavva, L. V. Kuzmenkova, E. V. Zemskov, N. G. Klyukvina
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-12-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/872
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author T. N. Gavva
L. V. Kuzmenkova
E. V. Zemskov
N. G. Klyukvina
author_facet T. N. Gavva
L. V. Kuzmenkova
E. V. Zemskov
N. G. Klyukvina
author_sort T. N. Gavva
collection DOAJ
description Systemic lupus erythematosus (SLE) is one of the most complex rheumatic diseases, which is due to the variety of its clinical forms and manifestations. The article describes a case of severe lung injury (LI) in a female patient with previously undiagnosed and untreated SLE, which led to a fatal outcome. A 33-year-old female patient diagnosed with pneumonia was delivered by an ambulance team to City Clinical Hospital Thirteen. Her leading complaints were dyspnea, joint pain, fever, and abdominal pain. During examination of the patient and analysis of her medical documents, attention was focused on a long history of articular syndrome, recurrent pneumonia with progressive pulmonary hypertension, general trophic, hematological changes, and the presence of autoantibodies, which was in aggregate the basis for the diagnosis of SLE with LI. This clinical case demonstrates the importance of the timely diagnosis and treatment initiation of SLE with LI. The diagnosis of SLE requires special attention to the patient's history and clinical and laboratory parameters. Specific immunological studies were conducted in doubtful cases. Rheumatological alertness is necessary, especially in relation to young women.
format Article
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institution DOAJ
issn 1996-7012
2310-158X
language Russian
publishDate 2018-12-01
publisher IMA-PRESS LLC
record_format Article
series Современная ревматология
spelling doaj-art-2ffb3f686b034916ae07ca3690319ce32025-08-20T03:01:22ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-12-0112411812210.14412/1996-7012-2018-4-118-1222136Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosusT. N. Gavva0L. V. Kuzmenkova1E. V. Zemskov2N. G. Klyukvina3City Clinical Hospital Thirteen, Moscow Healthcare Department.City Clinical Hospital Thirteen, Moscow Healthcare Department.City Clinical Hospital Thirteen, Moscow Healthcare Department.V.A. Nasonova Research Institute of Rheumatology.Systemic lupus erythematosus (SLE) is one of the most complex rheumatic diseases, which is due to the variety of its clinical forms and manifestations. The article describes a case of severe lung injury (LI) in a female patient with previously undiagnosed and untreated SLE, which led to a fatal outcome. A 33-year-old female patient diagnosed with pneumonia was delivered by an ambulance team to City Clinical Hospital Thirteen. Her leading complaints were dyspnea, joint pain, fever, and abdominal pain. During examination of the patient and analysis of her medical documents, attention was focused on a long history of articular syndrome, recurrent pneumonia with progressive pulmonary hypertension, general trophic, hematological changes, and the presence of autoantibodies, which was in aggregate the basis for the diagnosis of SLE with LI. This clinical case demonstrates the importance of the timely diagnosis and treatment initiation of SLE with LI. The diagnosis of SLE requires special attention to the patient's history and clinical and laboratory parameters. Specific immunological studies were conducted in doubtful cases. Rheumatological alertness is necessary, especially in relation to young women.https://mrj.ima-press.net/mrj/article/view/872joint painpneumoniapulmonary arterial hypertensionsystemic lupus erythematosus
spellingShingle T. N. Gavva
L. V. Kuzmenkova
E. V. Zemskov
N. G. Klyukvina
Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
Современная ревматология
joint pain
pneumonia
pulmonary arterial hypertension
systemic lupus erythematosus
title Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
title_full Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
title_fullStr Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
title_full_unstemmed Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
title_short Severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
title_sort severe lung involvement in a female patient with undiagnosed systemic lupus erythematosus
topic joint pain
pneumonia
pulmonary arterial hypertension
systemic lupus erythematosus
url https://mrj.ima-press.net/mrj/article/view/872
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AT lvkuzmenkova severelunginvolvementinafemalepatientwithundiagnosedsystemiclupuserythematosus
AT evzemskov severelunginvolvementinafemalepatientwithundiagnosedsystemiclupuserythematosus
AT ngklyukvina severelunginvolvementinafemalepatientwithundiagnosedsystemiclupuserythematosus