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Massive bilateral pleural effusion as the only first presentation of systemic lupus erythematosus.

Abstract
A rare case of systemic lupus erythematosus (SLE), with massive bilateral pleural effusions as the first manifestation, is described. The patient was a previously healthy 20-year-old soldier. Initial investigations were unrevealing, but after 3 months the patient developed the full-blown syndrome. He responded well to corticosteroids and cyclophosphamide with resolution of the pleural effusions and improvement of the clinical picture. SLE should always be considered in cases of massive pleural effusions, even in the absence of other overt stigmata of the disease.
AuthorsD Bouros, P Panagou, L Papandreou, I Kottakis, C Tegos
JournalRespiration; international review of thoracic diseases (Respiration) Vol. 59 Issue 3 Pg. 173-5 ( 1992) ISSN: 0025-7931 [Print] Switzerland
PMID1439230 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Humans
  • Lupus Erythematosus, Systemic (complications, diagnosis)
  • Male
  • Pleural Effusion (diagnostic imaging, etiology)
  • Radiography

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