Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report

Detalhes bibliográficos
Autor(a) principal: Fernandes, Natália
Data de Publicação: 2013
Outros Autores: Gomes, Guilherme, Capela, Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/62151
Resumo: Article number: 181
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spelling Presentation of systemic lupus erythematosus (SLE) in emergency department: a case reportAdultChest PainCoughDyspneaEdemaFemaleHumansLupus Erythematosus, SystemicTomography, X-Ray ComputedEmergency Service, HospitalArticle number: 181Background: Abrupt and life-threatening presentations in connective tissue diseases (CTD) are rarely reported. Their early recognition and specific management could change course disease. SLE is a multisystem inflammatory disease that is often difficult to diagnose in the emergency department (ED). Case presentation: A 26-year-old woman presented to the ED with a 48 hour history of progressive dispnea, generalized edema and left lower chest pain with non-productive cough. On examination, patient was feeling very ill, afebrile, tachycardic, tachypneic and a peripheral oxygen saturation of 94% on 40% supplemented oxygen with raised jugular venous pressure was noted. Intermittently, she presented an obtunded state of consciousness. A large pericardial, pleural and abdominal effusion was confirmed and a broad differential diagnosis was made. The patient had a 6 months history of inflammatory polyarthralgias involving initially interphalangeal joints, evolving, sometime later, the knees and elbows bilaterally and she was started glucocorticoids. 12 days before admission, she had had symptoms of a urethritis episode. In the context of an immunosupressed patient, with initial focal urologic complains, evidence of multiorgan dysfunction and a picture resembling a distributive shock, dictated a low threshold for sepsis. Conclusions: Separating an acute episode of SLE from sepsis, on emergency grounds, can even be the most challenging decision. In the ED, acute life-threatening and multisystemic conditions should arise the suspicion of autoimmune diseases, particularly SLE.(undefined)BioMed Central (BMC)Universidade do MinhoFernandes, NatáliaGomes, GuilhermeCapela, Carlos2013-05-052013-05-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/62151eng1756-050010.1186/1756-0500-6-18123642071info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:39:52ZPortal AgregadorONG
dc.title.none.fl_str_mv Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
title Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
spellingShingle Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
Fernandes, Natália
Adult
Chest Pain
Cough
Dyspnea
Edema
Female
Humans
Lupus Erythematosus, Systemic
Tomography, X-Ray Computed
Emergency Service, Hospital
title_short Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
title_full Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
title_fullStr Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
title_full_unstemmed Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
title_sort Presentation of systemic lupus erythematosus (SLE) in emergency department: a case report
author Fernandes, Natália
author_facet Fernandes, Natália
Gomes, Guilherme
Capela, Carlos
author_role author
author2 Gomes, Guilherme
Capela, Carlos
author2_role author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Fernandes, Natália
Gomes, Guilherme
Capela, Carlos
dc.subject.por.fl_str_mv Adult
Chest Pain
Cough
Dyspnea
Edema
Female
Humans
Lupus Erythematosus, Systemic
Tomography, X-Ray Computed
Emergency Service, Hospital
topic Adult
Chest Pain
Cough
Dyspnea
Edema
Female
Humans
Lupus Erythematosus, Systemic
Tomography, X-Ray Computed
Emergency Service, Hospital
description Article number: 181
publishDate 2013
dc.date.none.fl_str_mv 2013-05-05
2013-05-05T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/62151
url http://hdl.handle.net/1822/62151
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1756-0500
10.1186/1756-0500-6-181
23642071
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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