Shrinking Lung Syndrome: A Rare Manifestation of Systemic Lupus Erythematosus.
diaphragmatic elevation
dyspnea
hypoxemia
restrictive lung disease
shrinking lung syndrome
systemic lupus erythematosus
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
21 May 2020
21 May 2020
Historique:
entrez:
26
6
2020
pubmed:
26
6
2020
medline:
26
6
2020
Statut:
epublish
Résumé
Shrinking lung syndrome (SLS) is a pulmonary complication of systemic lupus erythematosus (SLE) characterized by dyspnea, pleuritic chest pain, and progressive decrease in lung volumes with no evidence of pleural or interstitial disease on chest CT. We present a 51-year-old female with a 14-year history of SLE with symptoms of progressive shortness of breath, pleuritic chest pains, low grade fevers, and productive cough which was unresponsive to multiple courses of antibiotics. After careful review of her course of SLE and timeline of symptoms, she was diagnosed with SLS. Even though rare, clinicians should have a high suspicion of SLS in patients with a long-term history of SLE and worsening dyspnea. Early treatment can be initiated to help reduce long-term morbidity and mortality and maintain the quality of life.
Identifiants
pubmed: 32582477
doi: 10.7759/cureus.8216
pmc: PMC7306665
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8216Informations de copyright
Copyright © 2020, Choudhury et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Autoimmun Rev. 2016 Oct;15(10):994-1000
pubmed: 27481038
Autoimmun Rev. 2017 Mar;16(3):287-293
pubmed: 28147262
Expert Opin Drug Saf. 2019 Dec;18(12):1133-1144
pubmed: 31657965
Am J Med. 2014 Aug;127(8):711-3
pubmed: 24736245
J Clin Rheumatol. 2019 Sep 2;:
pubmed: 31483349
QJM. 2018 Dec 1;111(12):839-843
pubmed: 29088421
Intern Med J. 2010 Jun;40(6):443-52
pubmed: 19460062
Rheumatol Int. 2020 May;40(5):719-726
pubmed: 32157369
J Appl Physiol (1985). 2006 May;100(5):1539-46
pubmed: 16614364
Lupus. 2004;13(10):817-9
pubmed: 15540517
J Rheumatol. 2013 Mar;40(3):273-81
pubmed: 23378468
Lupus. 2007;16(6):410-7
pubmed: 17664231
Lupus. 2018 Mar;27(3):365-371
pubmed: 28758573
Lupus. 2014 Oct;23(11):1201-3
pubmed: 24836585
Drugs. 2018 Mar;78(3):355-366
pubmed: 29396833