A foe incognito: an interesting case of pleurisy.
Though pleuritis and pleural effusion are common in lupus patients they are distinctly rare as the initial manifestation of lupus. Diagnosis of lupus pleuritis is also a difficult task and often costly and lengthy immunological panels are employed to diagnose it. We report one case of systemic lupus erythematosus (SLE) presenting with lupus pleuritis as the first manifestation. We propose that demonstration LE cells have a very prominent role in differentiating lupus pleuritis from other causes of pleural effusions in SLE patients. We believe that our case is the first report from India which shows pleuritis may be a first manifestation of lupus.
Department of Pathology, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
R P
RP
Goswami
Department of Medicine, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
K
K
Mukherjee
Department of Pathology, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
S
S
Mondal
Department of Medicine, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
S
S
Basu
Department of Medicine, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
P S
PS
Karmarkar
Department of Rheumatology and Clinical Immunology, Institute of Post Graduate Medical Education and Research, AJC, Bose Road, Kolkata 700020, West Bengal.
Alakendu
A
Ghosh
D000328:Adult; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D009504:Neutrophils / Q000473:pathology; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D010998:Pleurisy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011859:Radiography