Edema agudo de pulmäo com manifestaçäo precoce de lupus eritematoso sistêmico / Pulmonary edema as en earlymanifestation of systemic lupuserythematosus

RESUMO

Paciente masculino de 36 anos, apresentou edema agudo de pulmäo secundárioo a insuficiência mitral aguda como manifestaçäo precoce de lupus eritematoso sistêmico. Foram administrados oxigênio por cateter nasal, furosemida e dinitrato de isossorbida. Terapêutica para o lupus foi iniciada após 14 dias (60 mg diários de prednisona). O paciente encontra-se assintomático 5 meses depois da alta hospitalar e é portador de sopro de insuficiência mitral ++

ABSTRACT

A 36 year-old male patient developed acute pulmonary edema due acute mitral insufficiency as early manifestation of systemic lupus erythematosus. The patient was treated with supportive measures, oxygen,furosemide, and isosorbide dinitrate. He was started on prednisone 60 mg daily 14 days later, after the diagnosis of lupus was established. The patients is asymptomatic with mitral systolic murmur + + 5 months after hospital discharge.