A Case of Successful Treatment of Pulmonary Alveolar Hemorrhage with Plasmapheresis in Child with Systemic Lupus Erythematosus
Journal of the Korean Pediatric Society
;
: 974-978, 1998.
Article
in Korean
| WPRIM
| ID: wpr-141583
ABSTRACT
Pulmonary hemorrhage is a rare but possibly fatal complication of systemic lupus erythematosus (SLE). We report a case of massive pulmonary hemorrhage in a 14-year-old boy recently diagnosed as SLE. He developed massive pulmonary hemorrhage during the courses of i.v. methylprednisolone pulse therapy, and did not respond to i.v. cyclophosphamide. However, he rapidly improved through the use of plasmapheresis. Although various factors can precipitate pulmonary hemorrhage in SLE, our case was probably caused by an immune mediated mechanism since the hemorrhage responded promptly to plasmapheresis. This case illustrates the importance of plasmapheresis in the treatment of pulmonary hemorrhage which is not improved by methylprednisolone and cyclophosphamide. We report this case with a brief review of the related literatures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Methylprednisolone
/
Plasmapheresis
/
Cyclophosphamide
/
Hemorrhage
/
Lupus Erythematosus, Systemic
Limits:
Adolescent
/
Child
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1998
Type:
Article
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