Alveolar haemorrhage and possible lymphocytic interstitial pneumonitis in systemic lupus erythematosus

Discussion:

The patient deteriorated; the haemoptysis became massive and the patient died shortly after ICU admission. A post-mortem was carried out and confirmed massive alveolar haemorrhage, a recognised complication of systemic lupus erythematosus.

The central lung cysts are suggestive of lymphocytic interstitial pneumonitis, of which SLE is one of the associations.

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