Development of systemic lupus erythematosus in an elderly male hemodialysis patient with pleuritis.
CEN Case Rep
; 2(1): 46-48, 2013 May.
Article
em En
| MEDLINE
| ID: mdl-28509221
ABSTRACT
This report describes a 70-year-old man who developed systemic lupus erythematosus (SLE) during treatment with maintenance hemodialysis. At initiation of maintenance dialysis, the etiology of end-stage renal disease (ESRD) was diabetic nephropathy and no clinical symptom or laboratory data suggested SLE. Fever, pleural effusion that did not respond to ultrafiltration, and immunological findings such as low complement and elevated anti-double-strand DNA antibody level appeared 4 years after maintenance dialysis initiation. Immunosuppressive therapy with corticosteroids improved these abnormalities remarkably. This case underscores the necessity of considering SLE in the differential diagnosis of pleural effusion with male ESRD patients, even if another etiology of ESRD exists.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
CEN Case Rep
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Japão