Pulmonary amyloidosis and unusual lung involvement in SLE.
The association of systemic lupus erythematosus (SLE) with amyloidosis is exceptional. We present a 37-year-old patient who was diagnosed five months earlier for SLE. She developed an acute episode of chest pain, cough and dyspnoea. Hypoxemia and obstructive changes in respiratory tests were present. The chest X-ray was repeatedly normal. Open lung biopsy revealed lupus pneumonitis with positive stain for immunoglobulins and complement, bronchiolitis obliterans, and pulmonary amyloidosis.
Rheumatology Unit, Valme University Hospital, Seville, Spain.
J L
JL
Marenco
J
J
Sanchez-Burson
J
J
Ruiz Campos
M D
MD
Jimenez
F
F
Garcia-Bragado
D000328:Adult; D000686:Amyloidosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D001706:Biopsy; D001989:Bronchiolitis Obliterans / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005455:Fluorescent Antibody Technique; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D011379:Prognosis; D012129:Respiratory Function Tests