Yongsiri Somchai, Thammakumpee Jiranuch, Annanon Natthaphon
Faculty of Medicine, Burapha University, Thailand.
J Clin Apher. 2012 Nov;27(5):263-4. doi: 10.1002/jca.21237. Epub 2012 Jun 22.
In SLE patients with diffuse alveolar hemorrhage (DAH) and acute renal failure (ARF), the most common associated renal injury is proliferative lupus nephritis. We report a case of a young SLE patient with DAH and ARF who was successfully treated with a course of therapeutic plasma exchange (TPE) plus pulse IV cyclophosphamide. Kidney biopsy revealed an alternative diagnosis.
在患有弥漫性肺泡出血（DAH）和急性肾衰竭（ARF）的系统性红斑狼疮（SLE）患者中，最常见的相关肾损伤是增殖性狼疮性肾炎。我们报告一例年轻的患有DAH和ARF的SLE患者，其经一个疗程的治疗性血浆置换（TPE）加静脉注射环磷酰胺冲击治疗后获得成功。肾活检显示为另一种诊断结果。
