Abstract
Patients with acute lupus pneumonitis (ALP) usually have hypoxemia, patchy infiltrates evidenced on a chest x-ray film, and an incomplete response to corticosteroids with high mortality. In contrast, lupus patients with a syndrome of acute reversible hypoxemia (SARH) have hypoxemia with normal chest x-ray films and a rapid response to corticosteroids. We present a case of biopsy-proven ALP with normal initial chest x-ray films, and a normal CT scan. We hypothesize that a continuum of vascular and parenchymal abnormalities may exist in the lungs of lupus patients. This case also illustrates the insensitivity of routine chest radiographs in demonstrating mild or early pneumonitis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1781-1783 |
| Number of pages | 3 |
| Journal | Chest |
| Volume | 111 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jan 1 1997 |
Keywords
- Corticosteroids
- Hypoxemia
- Lupus
- Pneumonitis
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine
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Cite this
Susanto, I., & Peters, J. I. (1997). Acute lupus pneumonitis with normal chest radiograph. Chest, 111(6), 1781-1783. https://doi.org/10.1378/chest.111.6.1781