Acute Parenchymal Lung Involvement in a 68-Year-Old Woman with Systemic Lupus Erythematosus, Anemia, and Thrombocytopenia

    January 2019 in “ Lung India ”
    Silvano Dragonieri, Michela Dimitri, Vito Liotino, Anna Maria Caringella, Luciana Labate, Pierluigi Carratù, Onofrio Resta
    TLDR A 68-year-old woman with lupus and blood disorders improved after increased steroids and immunoglobulin treatment.
    A 68-year-old woman with systemic lupus erythematosus (SLE) presented with acute parenchymal lung involvement and hematological disorders, including anemia and thrombocytopenia. Despite initial treatment with corticosteroids, her condition deteriorated, leading to severe respiratory failure and worsening thrombocytopenia. Further treatment with increased steroid doses and intravenous immunoglobulin improved her condition. Diagnostic tests confirmed SLE with complications of autoimmune hemolytic anemia and Evans' syndrome. Follow-up showed significant improvement in lung function and stabilization of her clinical condition. The case highlighted the severe and life-threatening nature of acute pulmonary involvement in SLE, complicated by rare coexisting conditions.
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