Presentation
Acute dyspnoea.
Patient Data
Age: 25 years
Gender: Female
From the case:
Diffuse alveolar haemorrhage
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/141991/annotated_viewer_json?lang=gb"}
Widespread ground-glass opacity with relative sparing of the cortex.
Clearly visible interventricular septum indicates anaemia.
No gas-trapping on expiration.
DIAGNOSTIC SUMMARY: Native renal biopsy: Diffuse proliferative glomerulonephritis with crescent formation, features of WHO Type IV lupus nephritis.
Hb 57*L 2 weeks prior 95*L (normal 115-165 g/L)
ANA Titre >1/640*
ENA Screen Positive*
Smith Str Positive*
RNP/SM Str Positive*
Scl-70 Positive*
Ribo P Wk Positive*
Case Discussion
Typical features of acute diffuse alveolar haemorrhage and anaemia due to SLE.
The lungs cleared within two weeks.
Unable to process the form. Check for errors and try again.