Pulmonary alveolar hemorrhage in a pregnancy complicated by systemic lupus erythematosus.
We present a case of a pregnant patient with fulminant systemic lupus erythematosus complicated by alveolar hemorrhage, a rare and potentially fatal manifestation of lupus. It typically presents in the context of a pulmonary-renal syndrome. Active lupus nephritis with hypoalbuminemia is a major risk factor for alveolar hemorrhage. Treatment with high-dose corticosteroids is the mainstay of therapy.
Gaither
Kecia
K
Division of Maternal Fetal Medicine, Brookdale University Hospital and Medical Center, 1 Brookdale Plaza, Snapper Room 101, Brooklyn, NY 11212, USA. kgaither@brookdale.edu
Halstead
Kelley
K
Mason
Tina C
TC
D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D008171:Lung Diseases / Q000150:complications*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008181:Lupus Nephritis / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D011262:Pregnancy Trimester, Second