title: Severe pulmonary hemorrhage as the initial manifestation in systemic lupus erythematosus with active nephritis.
abstract: Pulmonary hemorrhage (PH) is an uncommon clinical manifestation of patients with systemic lupus erythematosus (SLE). In this report, we describe a 14-year-old male with PH as the sole clinical manifestation of his SLE. Kidney biopsy was performed and the report revealed lupus nephritis class IVb. He demonstrated a rapid clinical response to the therapy of intravenous pulse methylprednisolone. Awareness of the possibility of PH as a sole clinical presentation of SLE may aid in the diagnosis and early aggressive management of this condition.
authors.affiliation: Department of Pediatrics, Veterans General Hospital, Kaohsiung, Taiwan, Republic of China.
authors.forename: C Y
authors.initials: CY
authors.lastname: Wu
authors.forename: Y H
authors.initials: YH
authors.lastname: Chiou
authors.forename: P C
authors.initials: PC
authors.lastname: Chiu
authors.forename: K S
authors.initials: KS
authors.lastname: Hsieh
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008181:Lupus Nephritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D020551:Pulse Therapy, Drug; D011859:Radiography
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone