Systemic lupus erythematosus complicated by recurrent pneumothorax : Case report and literature review
スポンサーリンク
概要
- 論文の詳細を見る
Pneumothorax is a rare pleuropulmonary manifestation of systemic lupus erythematosus. We encountered a 37-year-old Japanese woman who had systemic lupus erythematosus complicated by recurrent pneumothorax during treatment for recurrent serositis with glucocorticoid therapy. She was admitted for the third episode of lupus peritonitis in December 2005. Intravenous cyclophoshamide and increased dose of oral prednisolone were administered. In early January 2006, hemoptysis was observed and bronchofiberscopy revealed hemorrhage from the left lower lobe. After intravenous methylprednisolone pulse therapy and oral cyclosporine therapy were added, pleurisy and pulmonary hemorrhage improved. On February 22nd, she suddenly developed pneumothorax on the right side, followed by pneumothorax on the left side after 2 days. This pneumothorax on the left side did not improve despite chest tube drainage for over one month. She underwent thoracoscopic partial lobectomy of lower lobe of the left lung, and her symptoms improved. Review of the literature identified 10 case reports of systemic lupus erythematosus complicated by pneumothorax. All of the patients including our case had underlying pulmonary lesions, and 9/11 patients had pleurisy. Besides 10/11 patients received glucocorticoid therapy before the occurrence of pneumothorax. Tissue fragility caused by these factors might contribute to the complication of pneumothorax in patients with systemic lupus erythematosus.
- 2010-06-30
著者
-
SHIBUYA Kazutoshi
Department of Surgical Pathology, Toho University School of Medicine
-
TANAKA Nahoko
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
KUSUNOKI Yoshie
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
KANEKO Kaichi
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
YAMAMOTO Tatsuhiro
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
KABURAKI Makoto
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
MURAOKA Sei
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
ABE Haruo
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
ENDO Hirahito
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
SATO Daisuke
Division of Respiratory Medicine, Department of Internal Medicine, Toho University School of Medicin
-
HOMMA Sakae
Division of Respiratory Medicine, Department of Internal Medicine, Toho University School of Medicin
-
KAWAI Shinichi
Division of Rheumatology, Department of Internal Medicine, Toho University School of Medicine
-
Homma Sakae
Division Of Respiratory Medicine Department Of Internal Medicine Toho University School Of Medicine
-
Endo Hirahito
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Kawai Shinichi
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Kaneko Kaichi
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Tanaka Nahoko
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Kusunoki Yoshie
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Kaburaki Makoto
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Abe Haruo
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Muraoka Sei
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Yamamoto Tatsuhiro
Division Of Rheumatology Department Of Internal Medicine Toho University School Of Medicine
-
Shibuya Kazutoshi
Department Of Clinical Pathology School Of Medicine Toho University
-
Sato Daisuke
Division Of Digestive And General Surgery Department Of Surgery Niigata University Graduate School O
-
Sato Daisuke
Division Of Chemistry Graduate School Of Science Hokkaido University
-
Kawai Shinichi
Division Of Rheumatology Department Of Internal Medicine (omori) School Of Medicine Faculty Of Medicine
-
Tanaka Nahoko
Division Of Rheumatology Department Of Internal Medicine (omori) School Of Medicine Faculty Of Medicine
関連論文
- Application of In Situ Hybridization to Tissue Sections for Identification of Molds Causing Invasive Fungal Infection
- Systemic lupus erythematosus complicated by recurrent pneumothorax : Case report and literature review
- Churg-Strauss Syndrome Presenting with Diffuse Alveolar Hemorrhage and Rapidly Progressive Glomerulonephritis
- Successful Treatment with Pneumonectomy for Pulmonary Mycobacterium Abscessus Infection
- Miliary Tuberculosis Associated with Chronic Neutrophilic Leukemia
- Elevated Serum Levels of Resistin, Leptin, and Adiponectin are Associated with C-reactive Protein and also Other Clinical Conditions in Rheumatoid Arthritis
- Clinical and Radiological Features of Acute-Onset Diffuse Interstitial Lung Diseases in Patients with Rheumatoid Arthritis Receiving Treatment with Biological Agents: Importance of Pneumocystis Pneumonia in Japan Revealed by a Multicenter Study
- Japan College of Rheumatology 2009 guidelines for the use of tocilizumab, a humanized anti-interleukin-6 receptor monoclonal antibody, in rheumatoid arthritis
- Anti-CD11b Monoclonal Antibody Suppresses Brain Dissemination of Cryptococcus neoformans in Mice
- Current status of diagnosis and treatment of invasive fungal infections in Japan : the influence of the new Japanese guidelines
- A Case of Juvenile Acromegaly that was Initially Diagnosed as Severe Congestive Heart Failure from Acromegaly-Induced Dilated Cardiomyopathy
- Pulmonary Hamartoma Diagnosed by Convex Probe Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA)
- Immunohistochemical and ultrastructural study on effect of fibroblast growth factor on transformation of fibroblasts to regenerated mesothelial cells
- Pathological Spectrum of Invasive Pulmonary Aspergillosis-Study of Pulmonary Lesions of 54 Autopsies and the Relationship Between Neutrophilic Response and Histologic Features of Lesions in Experimental Aspergillosis-
- Histopathology of Deep-Seated Fungal Infections and Detailed Examination of Granulomatous Response Against Cryptococci in Patients with Acquired Immunodeficiency Syndrome
- Catalases of Aspergillus fumigatus and Inflammation in Aspergillosis
- Pharmacokinetic study and Fcγ receptor gene analysis in two patients with rheumatoid arthritis controlled by low-dose infliximab
- The First Recognized Patient with legionella pneumophila Serogroup 9 Pneumonia in Japan
- Intrahepatic Cholangiocarcinoma Arising 34 Years After Excision of a Type IV-A Congenital Choledochal Cyst : Report of a Case
- VSY-4-3 Video-Assisted Living Donor Hemihepatectomy through a 12-cm Laparotomy in LRLT
- Recurrent paralytic ileus associated with strongyloidiasis in a patient with systemic lupus erythematosus
- A case of systemic sclerosis complicated by idiopathic portal hypertension : case report and literature review
- Synthesis and Relative Stereochemistry of the A- and F-Rings of Goniodomin A
- Efficacy and safety of tacrolimus for lupus nephritis : a placebo-controlled double-blind multicenter study
- Clinicoepidemiological manifestations of RPGN and ANCA-associated vasculitides : an 11-year retrospective hospital-based study in Japan
- Observation of osteogenesis in the pores of porous hydroxyapatite with an attachment of vascularized periosteum with computer added images using a three-dimensional reconstruction method
- Pathophysiology of pulmonary aspergillosis
- Parametric imaging using contrast-enhanced ultrasound with Sonazoid for hepatocellular carcinoma
- Usefulness of fluoro-2-deoxyglucose positron emission tomography for investigating unexplained rising carcinoembryonic antigen levels that occur during the postoperative surveillance of lung cancer patients
- Granuloma and cryptococcosis
- Safety of long-term tacrolimus therapy for rheumatoid arthritis : an open-label, uncontrolled study in non-elderly patients
- Bird Fanciers Lung Which Developed in a Pigeon Breeder Presenting Organizing Pneumonia
- Thyroid Papillary Carcinoma Recurring as Squamous Cell Carcinoma : Report of a Case
- Tacrolimus therapy for systemic lupus erythematosus without renal involvement : a preliminary retrospective study
- Comparison of ultrasound colored image views produced by application of statistical analysis of radio-frequency signals and histological findings in patients with chronic hepatitis C
- Late Onset Postoperative Pulmonary Fistula Following a Pulmonary Segmentectomy Using Electrocautery or a Harmonic Scalpel
- Dynamics of global gene expression changes during brain metastasis formation
- Histopathological Study of Candidal Infection in the Central Nervous System
- Pro-apoptotic effect of nonsteroidal anti-inflammatory drugs on synovial fibroblasts
- Recent Advances in Nonsteroidal Anti-Inflammatory Drugs
- Cyclosporin A in the Treatment of Acute Exacerbation of Idiopathic Pulmonary Fibrosis
- Involvement of endotoxin in the mortality of mice with gut-derived sepsis due to methicillin-resistant Staphylococcus aureus
- A Half-Century of Autopsy Results : Incidence of Pediatric Vasculitis Syndromes, Especially Kawasaki Disease
- Serum adipokine profiles in Kawasaki disease
- Efficacy and safety of additional use of tacrolimus in patients with early rheumatoid arthritis with inadequate response to DMARDs-a multicenter, double-blind, parallel-group trial
- Clinical features of 405 Japanese patients with systemic sclerosis
- Incidence and the Risk Factor of Malignancy in Japanese Patients with Systemic Sclerosis
- Comparison between the Effectiveness of Polymerase Chain Reaction and In Situ Hybridization in Detecting the Presence of Pathogenic Fungi by Using the Preserved DNA in Formalin-Fixed and Paraffin-Embedded Tissues
- Histopathological Study of Murine Pulmonary Cryptococcosis Induced by Cryptococcus gattii and Cryptococcus neoformans
- Histopathological Evaluation of the Efficacy of Antifungals for Experimental Trichosporon Bloodstream Infection
- Assessing the Cardiovascular Risk Between Celecoxib and Nonselective Nonsteroidal Antiinflammatory Drugs in Patients With Rheumatoid Arthritis and Osteoarthritis:– A 3-Year Nationwide Comparative Observational Study in Japan (ACCEPT) –
- Development and Evaluation of Nucleic Acid-Based Techniques for an Auxiliary Diagnosis of Invasive Fungal Infections in Formalin-Fixed and Paraffin-Embedded (FFPE) Tissues
- A Feasibility Study Assessing Tolerability of Daily versus Twice Weekly Trimethoprim-Sulfamethoxazole Regimen for Prophylaxis against Pneumocystis Pneumonia in Patients with Systemic Autoimmune Diseases on Glucocorticoid Therapy
- Resistin is associated with the inflammation process in patients with systemic autoimmune diseases undergoing glucocorticoid therapy : comparison with leptin and adiponectin