Affiliation:
1. Junior resident, Department Of Respiratory Medicine, Nkpsims and RC Nagpur.
2. Professor and HOD, Department of Respiratory Medicine, Nkpsims and RC Nagpur.
3. Associate professor, Department of Respiratory Medicine, Nkpsims and LMH & Research centre, Nagpur
Abstract
Connective tissue disorders like systemic lupus erythematosus can have serious pulmonary complications like ILD. In
this case report we had studied 25year male patient who came to OPD of Department of Respiratory Medicine NKPSIMS
AND RC Nagpur Maharashtra, with complaint of breathlessness on exertion since 3-4 years and was on medication. Patient was case of post
tubercular pleural effusion with Systemic Lupus Erythematosus(seropositive) with ILD. X ray chest showed prominent broncho-vascular
markings in bilateral lung lobes. Pulmonary Function test showed Moderate Restriction with moderate obstruction with small airway disease.
ANA & Anti-cardiolipin antibody tests were positive. Patient got symptomatically relief after starting tab Deazacort (oral steroids) and inhaled
corticosteroids formoterol and beclomethasone (Inhaler) with hydroxychloroquine tablet. Thus, concluding that early treatment of SLE leads to
better remission of ILD.
Subject
Safety, Risk, Reliability and Quality,Nuclear Energy and Engineering,General Engineering,General Engineering,Nuclear and High Energy Physics,Nuclear and High Energy Physics,General Energy,Mechanical Engineering,Waste Management and Disposal,Safety, Risk, Reliability and Quality,General Materials Science,Nuclear Energy and Engineering,Nuclear and High Energy Physics,General Engineering,Nuclear Energy and Engineering,Condensed Matter Physics,Nuclear and High Energy Physics
Reference7 articles.
1. Bakshi J, Segura BT, Wincup C, Rahman A. Unmet needs in the pathogenesis and treatment of systemic lupus erythematosus. Clin Rev Allergy Immunol. (2018) 55:352–67. doi: 10.1007/s12016-017-8640-5
2. Cuchacovich R, Gedalia A. Pathophysiology and clinical spectrum of infections in systemic lupus erythematosus. Rheum Dis Clin North Am. (2009) 35:75–93. doi: 10.1016/j.rdc.2009.03.003
3. Alamoudi OSB, Attar SM. Pulmonary manifestations in systemic lupus erythematosus: association with disease activity. Respirology. (2015) 20:474–80. doi: 10.1111/resp.12473
4. Hellman DB, Kirsch CM, Whiting-O'Keefe Q, Simonson J, Schiller NB, Petri M, et al. Dyspnea in ambulatory patients with SLE: prevalence, severity, and correlation with incremental exercise testing. J Rheumatol. (1995) 22:455–61.
5. Nakano M, Hasegawa H, Takada T, Ito S, Muramatsu Y, Satoh M, et al. Pulmonary diffusion capacity in patients with systemic lupus erythematosus. Respirology. (2002) 7:45–9. doi: 10.1046/j.1440-1843.2002.00361.