Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Systemic Lupus Erythematosus with Pulmonary Hypertension
Shigeru KOYAMATakeo ICHIYOSHIMasaaki CHINOTakayuki KANBAYASHI
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JOURNAL FREE ACCESS

1996 Volume 35 Issue 1 Pages 39-42

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Abstract

A 50-year-old Japanese female with a long history of Raynaud's phenomenon presented with progressive dyspnea due to pulmonary hypertension. The diagnosis of systemic lupus erythematosus was confirmed by proteinuria, lymphocytopenia, bilateral pleurisy, and a seizure of convulsion which was consistent with neurological manifestations of systemic lupus erythematosus, whereas the antinuclear antibody showed a low titer. Despite improvement in the activity of systemic lupus erythematosus, steroid treatment did not alter the progression of pulmonary hypertension, which increased in severity, eventually resulting in her death. We believe pulmonary hypertension to be an unusual but critical complication of systemic lupus erythematosus.
(Internal Medicine 35: 39-42, 1996)

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© The Japanese Society of Internal Medicine
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