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February 28, 1994

Acute Pulmonary Edema as the Initial Hospital Presentation of Systemic Lupus Erythematosus

Author Affiliations

From the Division of Nephrology (Drs Davidman and Bercovitch), Departments of Medicine (Dr Freter) and Pathology (Dr Brisson), Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal, Quebec.

Arch Intern Med. 1994;154(4):453-456. doi:10.1001/archinte.1994.00420040133016

Acute pulmonary edema is an unusual initial presentation for systemic lupus erythematosus. A 46-year-old woman required intensive care for life-threatening pulmonary edema of unknown etiology, which was unresponsive to conventional treatment. Her condition improved only when pulse corticosteroid therapy was initiated, with clinical and echocardiographic improvement in cardiac function. The diagnosis of systemic lupus erythematosus was then made, based on immunologic tests and renal biopsy. The patient's condition remained stable only with continuation of appropriate therapy for systemic lupus erythematosus.

(Arch Intern Med. 1994;154:453-456)

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