Presentation
Acute dyspnea.
Patient Data
Age: 25 years
Gender: Female
From the case:
Diffuse alveolar hemorrhage
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Widespread ground-glass opacity with relative sparing of the cortex.
Clearly visible interventricular septum indicates anemia.
No gas-trapping on expiration.
DIAGNOSTIC SUMMARY: Native renal biopsy: Diffuse proliferative glomerulonephritis with crescent formation, features of WHO Type IV lupus nephritis.
Hb 57*L 2 weeks prior 95*L (normal 115-165 g/L)
ANA Titer >1/640*
ENA Screen Positive*
Smith Str Positive*
RNP/SM Str Positive*
Scl-70 Positive*
Ribo P Wk Positive*
Case Discussion
Typical features of acute diffuse alveolar hemorrhage and anemia due to SLE.
The lungs cleared within two weeks.
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