Department of Rheumatology and Immunology, Anqing Medical Centre, Anhui Medical University, Anqing, China.
Department of Rheumatology and Immunology, Wannan Medical College, Wuhu, China.
Lupus. 2023 Nov;32(13):1579-1582. doi: 10.1177/09612033231210060. Epub 2023 Oct 20.
Systemic lupus erythematosus (SLE) is an autoimmune disease that most commonly occurs in women of childbearing age. However, cases of SLE with abnormal pregnancy as the initial manifestation, involving the development of diffuse alveolar hemorrhage (DAH), have rarely been reported. Herein, we report the case of a young woman who underwent a cesarean section for fetal distress and growth restriction at 35 + 1 weeks' gestation. Following discharge, she experienced progressive worsening of anemia and chest tightness, which was later diagnosed as SLE complicated by DAH.
系统性红斑狼疮（SLE）是一种自身免疫性疾病，最常发生在育龄期妇女中。然而，以异常妊娠为首发表现、合并弥漫性肺泡出血（DAH）的 SLE 病例很少见。在此，我们报告了一例 35+1 周妊娠因胎儿窘迫和生长受限而行剖宫产术的年轻女性。出院后，她逐渐出现贫血和胸闷加重，后被诊断为 SLE 合并 DAH。
