E-ISSN 2231-3206 | ISSN 2320-4672
 

Case Report 


Diffuse alveolar hemorrhage – An uncommon cause of dyspnea

Jaya Chakarvarty, Madhukar Rai, Manaswi Chaubey, Nayana Bhuvan, Saloni Agarwal, Sujeet Kumar Yadav, Gyan Prakash, Praveen Kumar Chaturvedi.

Abstract
Diffuse alveolar hemorrhage (DAH) is an uncommon but alarming manifestation of systemic lupus erythematosus (SLE). It can occur anytime during the disease course. Timely and appropriate management can lead to better results improving the patient’s condition. A 21-year-old female presented with fever for 1 month and progressive respiratory distress for 20 days. Laboratory tests revealed raised anti-nuclear antibody and anti-dsDNA along with low complement levels of C3 and C4. Her chest X-ray showed bilateral pleural effusion with diffuse reticulonodular opacities. Computed tomography thorax was done which was suggestive of areas of consolidation and alveolar nodular lesions in bilateral lung fields favoring diffuse alveolar hemorrhage. She was treated with intravenous pulse methylprednisolone, mycophenolate mofetil, and hydroxychloroquine and she improved. Lupus presenting with DAH as its initial manifestation is rare and has got worse prognosis with mortality approaching up to 50%. Therefore, the patient with diffuse alveolar hemorrhage should be evaluated for lupus as delay in initiation of therapy may lead to a rapid worsening of the patient’s condition.

Key words: Systemic Lupus Erythematosus; Diffuse Alveolar Hemorrhage; Dyspnoea


 
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How to Cite this Article
Pubmed Style

Chakarvarty J, Rai M, Chaubey M, Bhuvan N, Agarwal S, Yadav SK, Prakash G, Chaturvedi PK. Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. Natl J Physiol Pharm Pharmacol. 2020; 10(10): 936-939. doi:10.5455/njppp.2020.10.04085202018062020


Web Style

Chakarvarty J, Rai M, Chaubey M, Bhuvan N, Agarwal S, Yadav SK, Prakash G, Chaturvedi PK. Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. http://www.njppp.com/?mno=97074 [Access: October 01, 2020]. doi:10.5455/njppp.2020.10.04085202018062020


AMA (American Medical Association) Style

Chakarvarty J, Rai M, Chaubey M, Bhuvan N, Agarwal S, Yadav SK, Prakash G, Chaturvedi PK. Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. Natl J Physiol Pharm Pharmacol. 2020; 10(10): 936-939. doi:10.5455/njppp.2020.10.04085202018062020



Vancouver/ICMJE Style

Chakarvarty J, Rai M, Chaubey M, Bhuvan N, Agarwal S, Yadav SK, Prakash G, Chaturvedi PK. Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. Natl J Physiol Pharm Pharmacol. (2020), [cited October 01, 2020]; 10(10): 936-939. doi:10.5455/njppp.2020.10.04085202018062020



Harvard Style

Chakarvarty, J., Rai, . M., Chaubey, . M., Bhuvan, . N., Agarwal, . S., Yadav, . S. K., Prakash, . G. & Chaturvedi, . P. K. (2020) Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. Natl J Physiol Pharm Pharmacol, 10 (10), 936-939. doi:10.5455/njppp.2020.10.04085202018062020



Turabian Style

Chakarvarty, Jaya, Madhukar Rai, Manaswi Chaubey, Nayana Bhuvan, Saloni Agarwal, Sujeet Kumar Yadav, Gyan Prakash, and Praveen Kumar Chaturvedi. 2020. Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. National Journal of Physiology, Pharmacy and Pharmacology, 10 (10), 936-939. doi:10.5455/njppp.2020.10.04085202018062020



Chicago Style

Chakarvarty, Jaya, Madhukar Rai, Manaswi Chaubey, Nayana Bhuvan, Saloni Agarwal, Sujeet Kumar Yadav, Gyan Prakash, and Praveen Kumar Chaturvedi. "Diffuse alveolar hemorrhage – An uncommon cause of dyspnea." National Journal of Physiology, Pharmacy and Pharmacology 10 (2020), 936-939. doi:10.5455/njppp.2020.10.04085202018062020



MLA (The Modern Language Association) Style

Chakarvarty, Jaya, Madhukar Rai, Manaswi Chaubey, Nayana Bhuvan, Saloni Agarwal, Sujeet Kumar Yadav, Gyan Prakash, and Praveen Kumar Chaturvedi. "Diffuse alveolar hemorrhage – An uncommon cause of dyspnea." National Journal of Physiology, Pharmacy and Pharmacology 10.10 (2020), 936-939. Print. doi:10.5455/njppp.2020.10.04085202018062020



APA (American Psychological Association) Style

Chakarvarty, J., Rai, . M., Chaubey, . M., Bhuvan, . N., Agarwal, . S., Yadav, . S. K., Prakash, . G. & Chaturvedi, . P. K. (2020) Diffuse alveolar hemorrhage – An uncommon cause of dyspnea. National Journal of Physiology, Pharmacy and Pharmacology, 10 (10), 936-939. doi:10.5455/njppp.2020.10.04085202018062020