Rajvanshi Nikhil, Chacham Swathi, Chegondi Madhuradhar, Goyal Jagdish P, Singh Surjit
Pediatrics, All India Institute of Medical Sciences, Rishikesh, IND.
Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, USA.
Cureus. 2020 Apr 29;12(4):e7890. doi: 10.7759/cureus.7890.
Pulmonary hemorrhage is an uncommon manifestation in children and is often associated with systemic lupus erythematosus. We report a case of an adolescent girl who presented to our hospital with recurrent episodes of fever, cough, and breathlessness. Later on, she was diagnosed with pulmonary hemosiderosis as a manifestation of systemic lupus erythematosus. She was started on immunosuppressive therapy initially with prednisolone and subsequently with azathioprine and hydroxychloroquine, which improved the clinical status of the child.
肺出血在儿童中是一种不常见的表现，且常与系统性红斑狼疮相关。我们报告一例青少年女性病例，她因反复发热、咳嗽和呼吸急促前来我院就诊。后来，她被诊断为系统性红斑狼疮表现的肺含铁血黄素沉着症。最初给予泼尼松龙进行免疫抑制治疗，随后加用硫唑嘌呤和羟氯喹，患儿的临床状况得到改善。
