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Items 1-5 of 5 |
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Pleural effusion in systemic lupus erythematosus.
Reda MG, Baigelman W.
Three cases of systemic lupus erythematosus (SLE) with pleural effusion are reviewed. The characteristics of the effusions are presented, and the literature pertaining to lupus-related effusions is reviewed. There is great heterogeneity in lupus pleural effusions. The presence of polymorphonuclear neutrophils as the predominant white cell, while consistent with SLE, should raise the possibility of complicating bacterial infection. The presence of lupus erythematosus (LE) cells in the fluid seems to be the most specific diagnostic criterion.
PMID: 6160709 [PubMed - indexed for MEDLINE]
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Massive bilateral pleural effusion as the only first presentation of systemic lupus erythematosus.
Bouros D, Panagou P, Papandreou L, Kottakis I, Tegos C.
Department of Thoracic Medicine, Medical School, University of Crete, Heraklion, Greece.
A rare case of systemic lupus erythematosus (SLE), with massive bilateral pleural effusions as the first manifestation, is described. The patient was a previously healthy 20-year-old soldier. Initial investigations were unrevealing, but after 3 months the patient developed the full-blown syndrome. He responded well to corticosteroids and cyclophosphamide with resolution of the pleural effusions and improvement of the clinical picture. SLE should always be considered in cases of massive pleural effusions, even in the absence of other overt stigmata of the disease.
PMID: 1439230 [PubMed - indexed for MEDLINE]
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Systemic lupus erythematosus presenting as pleural effusion: report of a case.
Wang DY, Chang DB, Kuo SH, Yang S, Shiah DC, Chou HT, Luh KT.
Department of Internal Medicine, China Medical College Hospital, Taichung, Taichung, Taiwan, ROC.
Systemic lupus erythematosus (SLE) presenting as a pleural effusion in a young male is not common. This paper describes a 20-year-old man who was admitted to hospital with a spiking fever, chills and cough. A chest x-ray showed alveolar infiltration and a moderate right-sided pleural effusion. The patient was treated for parapneumonic effusion. Thoracentesis was performed and cytology of the aspirated fluid was initially interpreted as showing only numerous polymorphonuclear (PMN) leukocytes. However, in spite of antibiotic treatment the symptoms persisted. A careful review of the cytology specimen showed classic lupus erythematosus (LE) cells in addition to PMN cells. Subsequent investigation, including antinuclear antibodies titer, confirmed the diagnosis of LE pleurisy. Therapy with antibiotics was discontinued and treatment with prednisolone 20 mg daily was begun. There was a rapid clinical response including resolution of the fever and pleural effusion.
PMID: 8541737 [PubMed - indexed for MEDLINE]
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Lupus erythematosus cells in pleural fluids.
Boccato P, Saran B, Pasini L, Briani G.
Publication Types:
PMID: 83769 [PubMed - indexed for MEDLINE]
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Drug-induced lupus erythematosus with in vivo lupus erythematosus cells in pleural fluid.
Kaplan AI, Zakher F, Sabin S.
Pleural involvement in drug-induced lupus erythematosus is not uncommon. Lupus erythematosus cells were found in vivo in the pleural of an elderly patient who had received procainamide (Pronestyl) hydrochloride (2 gm daily) for nine months. Patients who initially have pleural effusions while receiving drugs capable of inducing lupus erythematosus should have the fluid analyzed for lupus erythematosus cells to help clarify the cause of the effusion.
PMID: 77754 [PubMed - indexed for MEDLINE]
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Items 1-5 of 5 |
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One page. |
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