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Vol. 5. Issue 2.
Pages 88-91 (March - April 2009)
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Vol. 5. Issue 2.
Pages 88-91 (March - April 2009)
Clinicopathological conference
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Dyspnea in a patient with systemic lupus erythematosus
Disnea en una paciente con lupus eritematoso sistémico
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Delia Tavernera, José A. Gómez-Puertab,
Corresponding author
jagomez@clinic.ub.es

Corrospondind author.
a Department of Rheumatology, Hospital del Mar, Barcelona, Spain
b Arthritis Unit, Department of Rheumatology, Hospital Clínic, Barcelona, Spain
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Abstract

A 33-year-old woman with a previous history of systemic lupus erythematosus complained of exerptional dyspnea and pleuritic chest pain accompanied by polyarthritis. Chest-x-rays revealed an elevation of the right hemidiaphragm. We discuss the diagnostic and therapeutic approach.

Keywords:
Systemic lupus erythematosus
Dyspnea
Chest pain
Resumen

Paciente de 33 años, con antecedentes de lupus eritematoso sistémico que consulta por disnea progresiva de moderados esfuerzos acompañada de dolor torácico derecho de características pleuríticas. En la radiografía simple de toráx se evidenció elevación del hemidiafragma derecho. Se discute a continuación el abordaje diagnóstico y terapéutico de la paciente.

Palabras clave:
Lupus eritematoso sistémico
Disnea
Dolor torácico
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References
[1]
J. Font, M.A. Khamashta, M. Vilardell.
Lupus eritematoso sistémico.
2nd ed., MRA, (2002),
[2]
D.J. Wallace, B.H. Hahn.
Duboi's lupus erythematosus..
7th ed., Lippincott Williams & Wilkins, (2007),
[3]
J.A. Gómez-Puerta, J.L. Callejas.
Manifestaciones osteoarticulares del lupus eritematoso sistémico.
Avances en enfermedades autoinmunes sistémicas. Avances en lupus eritematoso sistémico, pp. 77-95
[4]
Z. Argov.
Drug-induced myopathies.
Curr Opin Neurol, 13 (2000), pp. 541-545
[5]
E. Casado, J. Gratacós, C. Tolosa, J.M. Martínez, I. Ojanguren, A. Ariza, et al.
Antimalarial myopathy: an underdiagnosed complication? Prospective longitudinal study of 119 patients.
Ann Rheum Dis, 65 (2006), pp. 385-390
[6]
C.R. Harper, T.A. Jacobson.
The broad spectrum of statin myopathy: from myalgia to rhabdomyolysis.
Curr Opin Lipidol, 18 (2007), pp. 401-408
[7]
M. Cutolo, K. Otsa.
Review: vitamin D, immunity and lupus.
[8]
B.I. Hoffbrand, E.R. Beck.
Unexplained dyspnoea and shrinking lungs in systemic lupus erythematosus.
Br Med J, 1 (1965), pp. 1273-1277
[9]
C.A. Scirè, R. Caporali, M. Zanierato, F. Mojoli, A. Braschi, C. Montecucco.
Shrinking lung syndrome in systemic sclerosis.
Arthritis Rheum, 48 (2003), pp. 2999-3000
[10]
A. Tavoni, C. Vitali, G. Cirigliano, S. Frigelli, G. Stampacchia, S. Bombardieri.
Shrinking lung in primary Sjögren's syndrome.
[11]
K.J. Warrington, K.G. Moder, W.M. Brutinel.
The shrinking lungs syndrome in systemic lupus erythematosus.
Mayo Clin Proc, 75 (2000), pp. 467-472
[12]
M.Y. Karim, L.C. Miranda, C.M. Tench, P.A. Gordon, D.P. D’Cruz, M.A. Khamashta, et al.
Presentation and prognosis of the shrinking lung syndrome in systemic lupus erythematosus.
Semin Arthritis Rheum, 31 (2002), pp. 289-298
[13]
R. Singh, HuangW, Y. Menon, L.R. Espinoza.
Shrinking lung syndrome in systemic lupus erythematosus and Sjogren's syndrome.
J Clin Rheumatol, 8 (2002), pp. 340-345
[14]
S. Branger, N. Schleinitz, S. Gayet, V. Veit, G. Kaplanski, M. Badier, et al.
Shrinking lung syndrome and systemic auto-immune disease.
Rev Med Interne, 25 (2004), pp. 83-90
[15]
K.T. Oud, P. Bresser, R.J. Ten Berge, R.E. Jonkers.
The shrinking lung syndrome in systemic lupus erythematosus: improvement with corticosteroid therapy.
Lupus, 14 (2005), pp. 959-963
[16]
P.J. Ferguson, M. Weinberger.
Shrinking lung syndrome in a 14-year-old boy with systemic lupus erythematosus.
Pediatr Pulmonol, 41 (2006), pp. 194-197
[17]
H.A. Al-Raqum, S.S. Uppal, M. Al-Mutairy, R. Kumari.
Shrinking lung syndrome as a presenting manifestation of systemic lupus erythematosus in a female Kuwaiti.
Clin Rheumatol, 25 (2006), pp. 412-414
[18]
C.J. Alberto, D. Diana, N.G. Guillermo.
Shrinking lungs syndrome, a rare manifestation of systemic lupus erythematosus.
Int J Clin Pract, 60 (2006), pp. 1683-1686
[19]
K. Hardy, I. Herry, V. Attali, J. Cadranel, T. Similowski.
Bilateral phrenic paralysis in a patient with systemic lupus erythematosus.
Chest, 119 (2001), pp. 1274-1277
[20]
C.J. Gibson, J.P. Edmonds, G.R. Hughes.
Diaphragm function and lung involvement in systemic lupus erythematosus.
Am J Med, 63 (1977), pp. 926-932
[21]
L.A. Rubin, M.B. Urowitz.
Shrinking lung syndrome in SLE–a clinical pathologic study.
J Rheumatol, 10 (1983), pp. 973-976
[22]
C.M. Laroche, D.A. Mulvey, P.N. Hawkins, M.J. Walport, B. Strickland, J. Moxham, et al.
Diaphragm strength in the shrinking lung syndrome of systemic lupus erythematosus.
Q J Med, 71 (1989), pp. 429-439
[23]
P.J. Thompson, D.P. Dhillon, J. Ledingham, M. Turner-Warwick.
Shrinking lungs, diaphragmatic dysfunction, and systemic lupus erythematosus.
Am Rev Respir Dis, 132 (1985), pp. 926-928
[24]
R. Omdal, P. Roos, K. Wildhagen, R. Gunnarsson.
Respiratory arrest in systemic lupus erythematosus due to phrenic nerve neuropathy.
Lupus, 13 (2004), pp. 817-819
[25]
P.G. Wilcox, H.B. Stein, S.D. Clarke, P.D. Paré, R.L. Pardy.
Phrenic nerve function in patients with diaphragmatic weakness and systemic lupus erythematosus.
Chest, 93 (1988), pp. 352-358
[26]
B.A. Walz-Leblanc, M.B. Urowitz, D.D. Gladman, P.J. Hanly.
The shrinking lungs syndrome in systemic lupus erythematosus–improvement with corticosteroid therapy.
J Rheumatol, 19 (1992), pp. 1970-1972
[27]
S. van Veen, A.J. Peeters, P.J. Sterk, F.C. Breedveld.
The shrinking lung syndrome* in SLE, treatment with theophylline.
Clin Rheumatol, 12 (1993), pp. 462-465
[28]
F.J. Muñoz-Rodríguez, J. Font, J.R. Badia, C. Miret, J.A. Barberà, R. Cervera, et al.
Shrinking lungs syndrome in systemic lupus erythematosus: improvement with inhaled beta-agonist therapy.
Lupus, 6 (1997), pp. 412-414
[29]
J. Martens, M. Demedts, M.T. Vanmeenen, J. Dequeker.
Respiratory muscle dysfunction in systemic lupus erythematosus.
Chest, 84 (1983), pp. 170-175
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