PULMONARY ARTERIAL HYPERTENSION AS A RARE DEBUT OF A SYSTEMIC LUPUS ERYTHEMATOSUS (CLINICAL CASE DESCRIPTION)
Systemic lupus erythematosus (SLE) is an autoimmune systemic disease of connective tissue that develops on the basis of genetically determined imperfection of immunoregulatory processes, leading to the formation of many antibodies to its own cells and their components and the development of immunocomplex inflammation with damage to many organs and systems. Clinically, the lesion of the respiratory system in SLE is quite variable. This publication describes a rare clinical case of the onset of SLE in a young woman in the form of pulmonary arterial hypertension, with a fatal outcome. The data presented in the article will be useful to representatives of practical health care, rheumatologists, cardiologists and general practitioners.
Raifa L. Ivanova1, https://orcid.org/0000-0001-9851-2255
Majya V. Goremykina1, https://orcid.org/0000-0002-5433-7771
Assem N. Nurtassova1, https://orcid.org/ 0000-0003-3613-1574
Bagdat. B. Zandarbekova2
1 NCJSC «Semey Medical University»,
Semey city, Republic of Kazakhstan;
2 University hospital NCJSC «Semey Medical University»,
Semey city, Republic of Kazakhstan.
1. Волков А.В., Мартынюк Т.В. Легочная артериальная гипертензия при системных заболеваниях соединительной ткани: современное состояние проблемы // Научно-практическая ревматология. 2018;56(4):474–485
2. Илькович М.М. (ред.). Диссеминированные заболевания легких. М.: ГЭОТАР Медиа; 2011.480с.
3. Коган Е.А., Корнев Б.М., Попова Е.Н. и др. под ред. Н.А. Мухина Интерстициальные болезни легких: Практическое руководство / М.: Литтерра, 2007.416с.
4. Корнеев Б.М., Попова Е.Н., Коган Е.А. Поражение легких при системных заболеваниях соединительной ткани // Врач. 2000; 9: 22–25.
5. Насонова В.А., Бунчук Н.В. (ред.). Ревматические болезни. Руководство для врачей. М.: Медицина. 1997. 520с.
6. Парсонз П.Э., Хеффнер Д.Э. Секреты пульмонологии: Пер. с англ. М.: МЕДпрессинформ, 2004. 640с.
7. Петрова Д.В., Шойхет Я.Н., Берестов С.А., Дорохов А.Е. Клинические особенности системной красной волчанки, протекающей с поражением органов дыхания // Научно практическая ревматология. 2012, №3. С. 88-92.
8. Попова Е.Н., Козловская Л.В., Фомин В.В. и др. Идиопатический фиброзирующий альвеолит и хронические идиопатические интерстициальные пневмонии: современные аспекты диагностики и лечения // Consilium medicum 2005. 4: 306–311.
9. Чучалин А.Г. (ред.). Респираторная медицина. М.: ГЭОТАР Медиа; 2007. 640с.
10. Quadrelli S.A., Alvarez C., Arce S.C. et. al. Pulmonary involment of systemic lupus erythematosus: analysis of 90 necropsies // Lupus 2009. 18 (12): 1053–1060.
11. Kakati S., Doley B., Pal S. et. al. Pulmonary manifestations in systemic lupus erythematosus (SLE) with special reference to HR CT // J. Assoc. Physicians India 2007. 55: 839–841.
12. Leslie K.O., Trahan S., Gruden J. Pulmonary pathology of rheumatic diseases // Semin. Respir. Crit. Care Med. 2007. 28 (4): 369–378.
13. Carmier D., Marchand' Adam S., Diot P. et al. Respiratory involment in systemic lupus erythematosus // Rev. Mal. Respir. 2010. 27 (8): 66–78.
References:
1. Volkov A.V., Martynyuk T.V. Legochnaya arterial'naya gipertenziya pri sistemnykh zabolevaniyakh soedinitel'noi tkani: sovremennoe sostoyanie problem [Pulmonary arterial hypertension in systemic connective tissue diseases: current state of the problem]. Nauchno-prakticheskaya revmatologiya [Rheumatology Science and Practice] 2018;56(4): p. 474–485 [in Russian]
2. Il'kovich M.M. (red.). Disseminirovannye zabolevaniya legkikh [Disseminated lung disease] M.: GEOTAR Media; 2011.p. 480. [in Russian]
3. Kogan E.A., Kornev B.M., Popova E.N. i dr. pod red. N.A. Muhina Intersticial'nye bolezni legkikh: Prakticheskoe rukovodstvo [Interstitial Lung Disease: Practical Guide ] / M.: Litterra, 2007.p. 416. [in Russian]
4. Korneev B.M., Popova E.N., Kogan E.A. Porazhenie legkikh pri sistemnykh zabolevaniyakh soedinitel'noj tkani [Lung damage in systemic connective tissue diseases]. Vrach [Physician]. 2000; 9: pр. 22–25. [in Russian]
5. Nasonova V.A., Bunchuk N.V. (red.). Revmaticheskie bolezni. Rukovodstvo dlya vrachei [Rheumatic diseases. Guide for doctors] M.: Meditsina. 1997. p. 520. [in Russian]
6. Parsonz P.E., Heffner D.E. Sekrety pul'monologii [Secrets of pulmonology] Per. s angl. M.: MEDpressinform, 2004.p. 640. [in Russian]
7. Petrova D.V., SHojhet YA.N., Berestov S.A., Dorohov A.E. Klinicheskie osobennosti sistemnoi krasnoi volchanki, protekayushchei s porazheniem organov dykhaniya [Clinical features of systemic lupus erythematosus with respiratory involvement]. Nauchno-prakticheskaya revmatologiya [Rheumatology Science and Practice]. 2012, №3. рр. 88-92. [in Russian]
8. Popova E.N., Kozlovskaya L.V., Fomin V.V. i dr. Idiopaticheskii fibroziruyushchii al'veolit i khronicheskie idiopaticheskie interstitsial'nye pnevmonii: sovremennye aspekty diagnostiki i lecheniya [Idiopathic fibrosing alveolitis and chronic idiopathic interstitial pneumonia: modern aspects of diagnosis and treatment]. Consilium medicum 2005. 4: рр.306–311. [in Russian]
9. Chuchalin A.G. (red.). Respiratornaya meditcina [Respiratory medicine] M.: GEOTAR Media; 2007. p640. [in Russian]
10. Quadrelli S.A., Alvarez C., Arce S.C. et. al. Pulmonary involment of systemic lupus erythematosus: analysis of 90 necropsies. Lupus 2009. 18 (12): рр.1053–1060.
11. Kakati S., Doley B., Pal S. et. al. Pulmonary manifestations in systemic lupus erythematosus (SLE) with special reference to HR CT. J. Assoc. Physicians India 2007. 55: рр.839–841.
12. Leslie K.O., Trahan S., Gruden J. Pulmonary pathology of rheumatic diseases. Semin. Respir. Crit. Care Med. 2007. 28 (4): рр.369–378.
13. Carmier D., Marchand' Adam S., Diot P. et al. Respiratory involment in systemic lupus erythematosus. Rev. Mal. Respir. 2010. 27 (8): рр.66–78.
Number of Views: 180
Category of articles:
Clinical case
Bibliography link
Ivanova R.L., Goremykina M.V., Nurtassova A.N., Zhandarbekova B.B. Pulmonary arterial hypertension as a rare debut of a Systemic lupus erythematosus (Clinical case description) // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 1, pp. 81-86. doi 10.34689/SH.2021.23.1.012Related publications:
RABIES - AN INFECTIOUS DISEASE WITH A FATAL OUTCOME (CLINICAL CASE)
ACTIVATION OF OPPOSITE PROCESSES – OSTEOPOROSIS AND OSTEOGENESIS IN ANKYLOSING SPONDYLITIS USING THE CLINICAL CASES
GRANULOMATOUS POLYANGITIS (WEGENER’S GRANULOMATOSIS) IN THE PRACTICE OF A RHEUMATOGIST
VARIANT OF ADULT-ONSET STILL’SDISCASE: CASE REPORT
A CASE OF DÜHRING'S DERMATITIS HERPETIFORMIS ASSOCIATED WITH SARS - COV - 2