Acute Parenchymal Lung Involvement in a 68-Year-Old Woman with Systemic Lupus Erythematosus, Anemia, and Thrombocytopenia
January 2019
in “
Lung India
”
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, anemia, and thrombocytopenia. She experienced severe respiratory failure and was diagnosed with acute lupus pneumonitis (ALP) and Evans' syndrome (ES), a rare complication involving autoimmune hemolytic anemia and immune thrombocytopenia. Despite initial deterioration, her condition improved with increased steroid doses and intravenous immunoglobulin. Follow-up showed significant reduction in lung abnormalities. This case highlighted the severe and life-threatening complications of SLE, particularly when ALP and ES coexist.
