[A case of SLE with the onset of pleuritis showing eosinophilia and elevation of serum IgE].
A 19 year old female was admitted to our hospital with complaints of fever, dyspnea and chest pain. Chest x-ray film showed a massive right pleural effusion. She was diagnosed to have systemic lupus erythematosus (SLE) because of malar rash, serositis (pleuritis), positive antinuclear antibody and positive anti-DNA antibody. Then she was successfully treated with 50 mg/d prednisolone. This case was unusual and of interest in that she had eosinophilia in the peripheral blood and exudative pleural effusion and a marked elevation of serum IgE level despite no history of allergic diseases and no evidence of parasite infections.
Kojima
T
T
Department of Internal Medicine, Sawara Hospital, Fukuoka, Japan.
Umeno
M
M
Takaki
K
K
Tanaka
M
M
Takeda
T
T
Nagasawa
K
K
D000328:Adult; D004802:Eosinophilia / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D006942:Hypergammaglobulinemia / Q000188:drug therapy / Q000209:etiology*; D007073:Immunoglobulin E / Q000097:blood*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010996:Pleural Effusion / Q000473:pathology; D010998:Pleurisy / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000008:administration & dosage
D007073:Immunoglobulin E; D011239:Prednisolone