A case of very-late-onset systemic lupus erythematosus.
A 93-year-old woman was admitted to our hospital because of fever. Radiographic findings revealed accumulation of pleural fluid. Moreover, blood tests revealed inflammation, lymphopenia, hypocomplementemia, positive for anti-nuclear antibody, and elevated anti-DNA antibody level. Therefore, the patient was diagnosed with pleuritis associated with systemic lupus erythematosus (SLE). Administration of prednisolone 20 mg/day resulted in a marked improvement in fever, pleuritis, and laboratory findings. We report a case of very-late-onset SLE that occurred at the age of 93.
Yamaji
Ken
K
Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan. k.yamaji@med.juntendo.ac.jp
Yasuda
Mitsunori
M
Yang
Kwang Seok
KS
Kanai
Yoshinori
Y
Yamaji
Chiharu
C
Kawanishi
Toshiaki
T
Toumyo
Masayuki
M
Funabiki
Kazuhiko
K
Tsuda
Hiroshi
H
Takasaki
Yoshinari
Y
D017668:Age of Onset; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology*; D010998:Pleurisy / Q000175:diagnosis / Q000209:etiology; D011239:Prednisolone / Q000494:pharmacology / Q000627:therapeutic use; D013902:Radiography, Thoracic / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D011239:Prednisolone