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
- Abdominal pain in active SLE may be due to peritonitis, pancreatitis, mesenteric vasculitis or bowel infarction
- 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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