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Case Reports
. 2007 Feb;26(2):274-7.
doi: 10.1007/s10067-005-0139-4. Epub 2005 Dec 20.

A case of systemic lupus erythematosus complicated by alveolar hemorrhage and cytomegalovirus colitis

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Case Reports

A case of systemic lupus erythematosus complicated by alveolar hemorrhage and cytomegalovirus colitis

Masami Takei et al. Clin Rheumatol. 2007 Feb.

Abstract

We report a rare case of systemic lupus erythematosus (SLE) complicated by alveolar hemorrhage and cytomegalovirus (CMV) colitis. Despite the successful treatment of lupus nephritis by steroid pulse therapy, the patient developed an acute alveolar hemorrhage 2 months later. Cyclophosphamide pulse therapy ameliorated the hemorrhage. One month later, she suddenly developed melena secondary to CMV colitis. Antiviral therapy was successful. We emphasize the importance of timely and precise differential diagnosis for successful management of complicated SLE.

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