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MR Vol.11 No.4 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.4 |
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Successful plasmapheresis in alveolar hemorrhage
associated with systemic lupus erythematosus |
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| H. Shiraishi1, K. Migita1, S. Honda1, S.
Yamasaki1, H. Ida1, K. Shibatomi1, A. Kawakami1, Y. Kawabe1, K.
Eguchi1 |
| (1)First Department of Internal Medicine, Nagasaki
University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501,
Japan |
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| Abstract |
| Abstract The case of an 18-year-old Japanese
man with systemic lupus erythematosus (SLE) complicated by alveolar
hemorrhage is described. The patient presented with fever, butterfly
rash, and polyarthralgia, and was diagnosed with SLE. He suddenly
developed alveolar hemorrhage during steroid pulse therapy. Treatment
with plasmapheresis was initiated, with prompt clearing of the chest
radiograph. This experience suggests that the prompt initiation of
plasmapheresis should be considered for SLE patients with life-threating
alveolar hemorrhage resistant to conventional immunosuppressive therapies. |
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| Key words |
| Key words Alveolar hemorrhage ・ Plasmapheresis
・ Systemic lupus erythematosus (SLE) |
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