A case of prostacyclin responsive pulmonary hypertension complicated in a patient with systemic lupus erythematosus / 대한내과학회지
Korean Journal of Medicine
;
: 581-586, 2002.
Article
in Korean
| WPRIM
| ID: wpr-169310
ABSTRACT
A 36-year-old woman was admitted due to dyspnea and generalized edema, and was diagnosed as systemic lupus erythematosus and right ventricular heart failure due to accompanied pulmonary hypertension. The patient had been treated with diuretics, digoxin, high dose steroid and high dose nifedipine to treat right ventricular heart failure and pulmonary hypertension. Although the symptom and pulmonary hypertension responded transiently by these treatment, dyspnea was aggravated again and pulmonary arterial pressure was elevated in 1 week after high dose nifedipine treatment. The combination therapy of oral prostacyclin analogue (Beraprost), high dose steroid, azathioprine, hydrochloroquine sulfate was tried subsequently and decrease of pulmonary hypertension and improvement of clinical symptoms was noted in 45 days after beraprost treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Azathioprine
/
Calcium Channel Blockers
/
Nifedipine
/
Epoprostenol
/
Digoxin
/
Diuretics
/
Dyspnea
/
Edema
/
Arterial Pressure
/
Heart Failure
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2002
Type:
Article
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