The Indian Journal of Pediatrics

, Volume 74, Issue 11, pp 1032–1033

Intravenous immunoglobulin therapy of lupus pneumonitis

  • G. Chetan
  • S. Mahadevan
  • Kikon Sulanthung
  • P. Narayanan
Clinical Brief

DOI: 10.1007/s12098-007-0190-z

Cite this article as:
Chetan, G., Mahadevan, S., Sulanthung, K. et al. Indian J Pediatr (2007) 74: 1032. doi:10.1007/s12098-007-0190-z

Abstract

Acute lupus pneumonitis in an 11-year-old girl with lupus nephritis is reported. Chest radiograph and arterial blood gas parameters were suggestive of Acute Respiratory Distress Syndrome (ARDS). Definitive pulmonary infection was excluded by investigations and poor clinical response to antibiotics. The respiratory worsening warranted ventilatory support with very high pressures. A trial of intravenous immunoglobulin was given following which there was improvement in the ventilatory requirements by 36 hours. The child was successfully weaned off ventilator and discharged from ICU by day 7. The role of intravenous immunoglobulin during acute life threatening pulmonary emergencies in a case of SLE prompted this clinical brief.

Key words

Lupus pneumonia ARDS IVIG 

Copyright information

© Dr. K C Chaudhuri Foundation 2007

Authors and Affiliations

  • G. Chetan
    • 1
  • S. Mahadevan
    • 1
  • Kikon Sulanthung
    • 1
  • P. Narayanan
    • 1
  1. 1.Department of PediatricsJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)PondicherryIndia

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