Summary
A patient with fatal acute pulmonary vasculitis complicating systemic lupus erythematosus (SLE) of ten years duration is described. The patient died seven days after an uneventful pregnancy and delivery. Pathologic examination demonstrated acute necrotizing changes as well as organized lesions in pulmonary arteries. Acute pulmonary arteritis is rare in SLE and may develop as one of the major complications of the disease in the potentially dangerous post-partum period.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Sergent, J.S., Lockshin, M.D. Primary pulmonary hypertension and SLE. N Engl J Med, 1973, 288, 1078.
Case records of the Massachusetts General Hospital, Case 4-1973. N Engl J Med, 1973, 288, 204–210.
Nair, S.S., Askari, A., Popelka, D., Kleinerman, J.F. Pulmonary hypertension and SLE. Arch Intern Med, 1980, 140, 109–111.
Pérez, H.D., Kramer, N. Pulmonary hypertension in SLE: Report of four cases and review of the literature. Semin Arthritis Rheum, 1981, XI, 177–181.
Hodson, P., Klemp, P., Meyers, L.L. Pulmonary hypertension in SLE: A report of four cases. Clin Exp Rheumatol, 1983, 1, 241–245.
Marchesoni, A., Messina, K., Carried, P., Sinigaglia, L., Tosi, S. Pulmonary hypertension and SLE. Clin Exp Rheumatol, 1983, 1, 247–250.
Fulmer, J., Benfer Kaltreider, H. The pulmonary vasculitides. Chest, 1982, 82, 615–624.
Fayemi, A.O. Pulmonary vascular disease in SLE. Am J Clin Pathol, 1976, 65, 284–290.
Haupt, H., Moore, G.W., Hutchins, G.M. The lung in SLE. Am J Med, 1981, 71, 791–798.
Zulman, J., Talal, N., Hoffman, G., Epstein, W. Problems associated with the management of pregnancies in patients with SLE. J Rheumatol, 1980, 7, 37–49.
Brain, M.C., Dacie, J.V., Hourihane, O.B. Microangiopathic haemolytic anemia: the possible role of vascular lesions in pathogenesis. Br J Haematol, 1962, 8, 358–374.
Fine, L. SLE in pregnancy. Ann Intern Med, 1981, 94, 667–677.
Zurier, R., Argyros, T., Urman, J., Warren, J., Rothfield, N. SLE management during pregnancy. Obstet Gynecol, 1978, 51, 178–180.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hubscher, O., Eimon, A., Elsner, B. et al. Fatal post-partum pulmonary vasculitis in systemic lupus erythematosus. Clin Rheumatol 3, 547–550 (1984). https://doi.org/10.1007/BF02031281
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02031281