title: Alveolar hemorrhage as the initial presentation of systemic lupus erythematosus.
abstract: Alveolar hemorrhage (AH) is a rare syndrome that can often occur in autoimmune diseases, blood clotting disorders, infection or by acute inhalation injury, presenting rapid evolution and high mortality, especially with late diagnosis and treatment. Among the autoimmune diseases, there are reported cases in patients with primary antiphospholipid syndrome (PAPS), vasculitis and systemic lupus erythematosus (SLE). An early diagnosis is an essential tool in the successful management of this complication, requiring aggressive treatment based on vigorous immunosuppression and broad-spectrum antibiotic. We describe here a case of alveolar hemorrhage associated with glomerulonephritis as the open presentation in a patient with SLE.
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Bruna A
authors.initials: BA
authors.lastname: de Holanda
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Isabela G Menna
authors.initials: IG
authors.lastname: Barreto
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Isadora S Gomes
authors.initials: IS
authors.lastname: de Araujo
authors.affiliation: Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: de Araujo
keywords: alveolar hemorrhage; lung disease; respiratory insufficiency; systemic lupus erythematosus