Perinatology.  2019 Mar;30(1):32-35. 10.14734/PN.2019.30.1.32.

Antepartum Diagnosis and Treatment of Diffuse Alveolar Hemorrhage in a Pregnant Woman with Systemic Lupus Erythematosus

• Kim HS
• Jeon HS
• Han SJ
• Kim JH
• Chang JH
• Oh YK
• Shin K
• Kim BJ
• Lee SM

• KMID: 2443174
• DOI: http://doi.org/10.14734/PN.2019.30.1.32

Abstract

Diffuse alveolar hemorrhage (DAH) is a rare and life-threatening complication of systemic lupus erythematosus. Differential diagnosis and successful management of DAH can be problematic in pregnancy. We report a case of a 35-year-old pregnant woman who was presumptively diagnosed with DAH and treated during the antepartum period, resulting in symptomatic improvement and successful delivery after immunosuppressive treatment.

Keyword

Pregnancy complications; Lupus erythematosus; Systemic; Lupus nephritis; Hemorrhage; Lung diseases

MeSH Terms

Adult
Diagnosis*
Diagnosis, Differential
Female
Hemorrhage*
Humans
Lung Diseases
Lupus Erythematosus, Systemic*
Lupus Nephritis
Pregnancy
Pregnancy Complications
Pregnant Women*

Figure

• 

  Fig. 1. (A) Chest radiograph showing diffuse consolidation. (B) Chest computed tomography scan showing diffuse ground glass opacity and nodular consolidation.

• 

  Fig. 2. Chest radiograph showing radiographic improvement.

Reference

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