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Recurrent pleural effusion in a patient with systemic lupus erythematosus

I Putu Eka Krisnha Wijaya, Zulkifli Amin (Interna Publishing (Pusat Penerbitan Ilmu Penyakit Dalam), 2019)

 Abstrak

ABSTRAK
Background: Systemic lupus erythematosus (SLE) is an autoimmune disease that more commonly affects women of childbearing age. It is a multi-organ disease and can involve virtually any organ in the body. Pleural effusion can occurred in 30% of patients with SLE, which may be a result of SLE itself, pulmonary emboli, or end-organ damage such as heart or renal failure. The management of pleural effusions in SLE patient can be challenging because the numerous of potential underlying cause and sometimes effusion recur despite appropriate treatment of primary process. Case Report: We reported 33 years old woman patient admitted to our ED with chief complaint of shortness of breath for last 1 week. Chest X-ray result showed bilateral pleural effusion. Serial pleural fluid analysis consistent with conclusion of transudate fluid. Echochardiograpy showed dilatation of left atrium and ventricle and reduced LVEF 34%. These data suggest congestive heart failure as the cause of pleura effusion. A few days after initial thoracocentesis, the patient become dyspnea again because of reccurent pleural effusion. To relieve the symptom, we did insertion of pigtail catheter connected with mini WSD (Water seal drainage). Conclusion: Pleural effusion is a relatively common clinical presentation of a patient with SLE. Pleural effusions may be a result of SLE itself, pulmonary emboli, or end-organ damage such as heart or renal failure. The management of pleural effusions are mainly to relieve the symptoms and treatment of underlying cause.

 Metadata

No. Panggil : CHEST 6:1 (2019)
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Penerbitan : Bandung : Interna Publishing (Pusat Penerbitan Ilmu Penyakit Dalam), 2019
Sumber Pengatalogan : LibUI eng rda
ISSN : 23554584
Majalah/Jurnal : Indonesian Journal of CHEST Critical and Emergency Medicine
Volume : Vol. 6, No. 1, Januari - Juli 2019, Hal. 33 - 37
Tipe Konten : text
Tipe Media : unmediated (rda media)
Tipe Carrier : volume
Akses Elektronik :
Institusi Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 4, R. Koleksi Jurnal
  • Ketersediaan
  • Ulasan
No. Panggil No. Barkod Ketersediaan
CHEST 6:1 (2019) 03-19-961051030 TERSEDIA
Ulasan:
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