SYSTEMIC LUPUS-ERYTHEMATOSUS PRESENTING AS PLEURAL EFFUSION - REPORT OF A CASE

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Title:	SYSTEMIC LUPUS-ERYTHEMATOSUS PRESENTING AS PLEURAL EFFUSION - REPORT OF A CASE
Authors:	WANG, DY;CHANG, DB;KUO, SH;YANG, S;SHIAH, DC;CHOU, HT;LUH, KT
Contributors:	附設醫院內科部 CHINA MED COLL HOSP,DEPT INTERNAL MED,DIV CHEST MED,75 YUH DER RD,TAICHUNG 404,TAIWAN
Date:	1995
Issue Date:	2010-09-20 13:55:16 (UTC+8)
Publisher:	EXCERPTA MEDICA ASIA LTD
Abstract:	Systemic lupus erythematosus (SLE) presenting as a pleural effusion in a young male is not common. This paper describes a 20-year-old man who was admitted to hospital dth a spiking fever, chills and cough. A chest x-ray showed alveolar infiltration and a moderate right-sided pleural effusion. The patient was treated for parapneumonic effusion. Thoracentesis was performed and cytology of the aspirated fluid was initially interpreted as showing only numerous polymorphonuclear (PMN) leukocytes. However, in spite of antibiotic treatment the symptoms persisted. A careful review of the cytology specimen showed classic lupus erythematosus (LE) cells in addition to PMN cells. Subsequent investigation, including antinuclear antibodies titer, confirmed the diagnosis of LE pleurisy. Therapy with antibiotics was discontinued and treatment with prednisolone 20 mg daily was begun. There was a rapid clinical response including resolution of the fever and pleural effusion.
Relation:	JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION 94(12):746-749
Appears in Collections:	[China Medical University Hospital] Proceedings

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