Systemic Lupus Erythematosus Associated with Massive Ascites and Pleural Effusion in a Patient Who Presented with Disseminated Intravascular Coagulation

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概要

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• A case of systemic lupus erythematosus (SLE) associated with serositis presenting with disseminated intravascular coagulation (DIC) is reported. A 53-year-old woman was admitted because of a fever. Laboratory tests revealed increased plasma levels of fibrinogen degradation products (FDP) and FDP-D-dimer, high titers of anti-nuclear antibody, high serum levels of anti-DNA antibody, immune complexes, decreased serum complements, and persistent proteinuria. A CT scan showed massive ascites and pleural effusion, marked edema and swelling of the mesenterium. The patients condition and immunological abnormalities improved after steroid therapy. The association of DIC and lupus serositis has never been described in the literature.(Internal Medicine 41: 161-166, 2002)

• 社団法人 日本内科学会の論文

著者

• Kageyama Yo

  The Department Of Internal Medicine Tochigi National Hospital

• Yagi Takashi

  The Department Of Internal Medicine Keio University Hospital

• MIYAIRI Mamoru

  the Department of Internal Medicine, Tochigi National Hospital

• Miyairi Mamoru

  The Department Of Internal Medicine Tochigi National Hospital

関連論文

• Systemic Lupus Erythematosus Associated with Massive Ascites and Pleural Effusion in a Patient Who Presented with Disseminated Intravascular Coagulation

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