Document Detail


Pulmonary hypertension in systemic lupus erythematosus: a report of an autopsied case.
MedLine Citation:
PMID:  8000104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An autopsied case of systemic lupus erythematosus with pulmonary hypertension is reported. A 29-year-old woman with a seven-year history of polyarthralgia, butterfly rash, nephrotic syndrome and Raynaud's phenomenon was admitted because of progressive dyspnea on exertion. Tests for antinuclear antibody, anti-cardiolipin antibody and lupus anticoagulant were positive. Echocardiographic examination revealed right ventricular hypertrophy and a moderate pericardial effusion. Estimated systolic pulmonary arterial pressure was 53 mmHg. Despite treatment with corticosteroids including pulse methylprednisolone therapy, lipo-PGE1 and warfarin, she died of progressive congestive heart failure. Postmortem examination of the pulmonary vasculature revealed findings consistent with plexogenic pulmonary arteriopathy, without evidence of vasculitis, fibrinoid necrosis, or thromboemboli.
Authors:
M Sato; H Okazaki; H Okamoto; A Ohtaka; H Shimizu; N Minato; S Kano
Related Documents :
1530164 - Ibuprofen pretreatment does not prevent hemodynamic instability after cemented arthropl...
3375964 - Effects of nitroprusside and ketanserin upon pulmonary edema after acid injury.
3788444 - Pulmonary edema following acute upper airway obstruction.
1619914 - Pulmonary arterial impedance after single lung transplantation.
10762944 - Late clinical outcome after intracoronary palmaz-schatz stenting with high pressure bal...
11933004 - Prevalence, prevention, and treatment of pressure ulcers: descriptive study in 89 insti...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  33     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-01-24     Completed Date:  1995-01-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  540-2     Citation Subset:  IM    
Affiliation:
Division of Clinical Immunology, Jichi Medical School, Tochigi.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Fatal Outcome
Female
Heart Failure / etiology
Humans
Hypertension, Pulmonary / etiology*
Lupus Coagulation Inhibitor / urine
Lupus Erythematosus, Systemic / complications*
Raynaud Disease / complications
Chemical
Reg. No./Substance:
0/Lupus Coagulation Inhibitor

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pulmonary infection due to Mycobacterium xenopi.
Next Document:  A MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes) mtDNA mu...