Systemic lupus erythematosus presenting with lymphoid interstitial pneumonia as an initial manifestation

Akiko Maeda; Mitsuyo Kinjo; Kiyoshi Kinjo; Tomoo Kishaba

doi:10.1136/bcr-2021-243539

Systemic lupus erythematosus presenting with lymphoid interstitial pneumonia as an initial manifestation

BMJ Case Rep. 2021 Dec 30;14(12):e243539. doi: 10.1136/bcr-2021-243539.

Authors

Akiko Maeda¹, Mitsuyo Kinjo², Kiyoshi Kinjo², Tomoo Kishaba³

Affiliations

¹ Department of Respiratory Medicine, Okinawa Chubu Hospital, Uruma, Japan orangepeco610@gmail.com.
² Department of Internal Medicine, Okinawa Chubu Hospital, Uruma, Japan.
³ Department of Respiratory Medicine, Okinawa Chubu Hospital, Uruma, Japan.

Abstract

A 25-year-old woman with an extensive travel history developed chronic cough and multiple lung nodules. The lung biopsy revealed lymphoid interstitial pneumonia. The patient later developed cervical lymphadenopathy, arthritis and livedo reticularis, then systemic lupus erythematosus was diagnosed with positive double-stranded DNA and low complement. The patient's symptoms responded to prednisolone and azathioprine.

Keywords: connective tissue disease; interstitial lung disease; systemic lupus erythematosus.

Publication types

Case Reports

MeSH terms

Adult
Female
Humans
Lung Diseases, Interstitial* / diagnostic imaging
Lung Diseases, Interstitial* / drug therapy
Lupus Erythematosus, Systemic* / complications
Lupus Erythematosus, Systemic* / diagnosis
Lupus Erythematosus, Systemic* / drug therapy
Lymphadenopathy*
Prednisolone / therapeutic use

Substances

Prednisolone

Supplementary concepts

Lymphoid Interstitial Pneumonia