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Successful Early Rituximab Treatment in a Case of Systemic Lupus Erythematosus with Potentially Fatal Diffuse Alveolar Hemorrhage

Authors
Na, Ju OckChang, Sung HaeSeo, Ki-HyeonChoi, Jae SungLee, Ho SungLyu, Ji WonNah, Seoung-Su
Issue Date
2015
Publisher
Karger AG
Keywords
Systemic lupus erythematosus; Diffuse alveolar hemorrhage; Rituximab
Citation
Respiration; international review of thoracic diseases, v.89, no.1, pp 62 - 65
Pages
4
Journal Title
Respiration; international review of thoracic diseases
Volume
89
Number
1
Start Page
62
End Page
65
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/11535
DOI
10.1159/000369038
ISSN
0025-7931
1423-0356
Abstract
Diffuse alveolar hemorrhage (DAH) is a rare but devastating complication of systemic lupus erythematosus (SLE) with a high early mortality rate. DAH seldom occurs without active organ involvement. Recently, rituximab (RTX), a B cell-targeted therapy, has been reported to be effective for life-threatening autoimmune diseases. We describe a SLE patient who presented with acute respiratory failure due to DAH without other active organ involvement. This condition was dramatically improved with RTX without cyclophosphamide. (C) 2014 S. Karger AG, Basel
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