Saturday, August 10, 2013

SLE

Pulmonary features of SLE
  • Pleurisy with pleuritic chest pain +/- pleural effusions is the commonest feature
  • Pulmonary embolism, lupus pneumonitis, chronic lupus interstitial lung disease, pulmonary hypertension, alveolar hemorrhage and infection are other complications
GI features
  • Abdominal pain in active SLE may be due to peritonitis, pancreatitis, mesenteric vasculitis or bowel infarction
Cardiac features
  • Pericarditis is the most common cardiac feature, presenting with positional chest pain that is relieved on leaning forward.
  • Myocarditis and pulmonary hypertension can present with breathlessness and chest pain
  • Coronary artery disease presents with angina

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