Diffuse Alveolar Haemorrhage as Initial Presentation of Systemic Lupus Erythematosus: A Case Report

  • Ashesh Dhungana Department of Medicine, National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
  • Prajowl Shrestha Department of Medicine, National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
  • Bhakta Dev Shrestha Department of Medicine, National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
  • Anil Baral Department of Nephrology, National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal
  • Gita Sayami Department of Pathology, TU Teaching Hospital, Kathmandu, Nepal
Keywords: Bronchoalveolar lavage (BAL), Diffuse alveolar hemorrhage (DAH), Systemic lupus erythematosus (SLE)

Abstract

Diffuse alveolar hemorrhage results from accumulation of red blood cells in the alveolar space originating from alveolar capillaries. Alveolar hemorrhage in Systemic Lupus Erythematosus is rare but catastrophic and can rapidly progress to respiratory failure. We report a 22-year old lady who presented with dyspnoea on exertion, hemoptysis, bilateral leg swelling and oliguria. Diffuse alveolar hemorrhage was confirmed by bronchoalveolar lavage fluid analysis. Serologic tests and renal biopsy confirmed lupus nephritis. She was treated with systemic immunosuppressive therapy and plasma exchange, to which she had a favourable response. Lupus presenting as alveolar hemorrhage is rare which warrants prompt diagnosis and treatment to prevent complications.

Published
2018-12-31
How to Cite
Dhungana, A., Shrestha, P., Shrestha, B. D., Baral, A., & Sayami, G. (2018). Diffuse Alveolar Haemorrhage as Initial Presentation of Systemic Lupus Erythematosus: A Case Report. Journal of Nepal Medical Association, 56(214), 970-973. https://doi.org/10.31729/jnma.3903
Section
Case Reports