Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.]
Here we present a 24-year-old lady with systemic lupus erythematosus (SLE) whom we diagnosed with shrinking lung syndrome (SLS), a rare manifestation of SLE. The initial SLE manifestation was alopecia, thrombocytopenia, serositis and vasculitis. Anti-nuclear antibody (ANA), anti-double stranded DNA...
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Universiti Teknologi MARA Cawangan Selangor
2017
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my.uitm.ir.300642020-04-22T02:06:47Z http://ir.uitm.edu.my/id/eprint/30064/ Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] Baharuddin, Hazlyna Mohd Zim, Mohd Arif Rosman, Azmillah Mohd Zain, Mollyza Specialties of internal medicine Diseases of the lungs Here we present a 24-year-old lady with systemic lupus erythematosus (SLE) whom we diagnosed with shrinking lung syndrome (SLS), a rare manifestation of SLE. The initial SLE manifestation was alopecia, thrombocytopenia, serositis and vasculitis. Anti-nuclear antibody (ANA), anti-double stranded DNA (dsDNA) antibody, anti-ribonucleic (RNP) and anti-Ro antibody were positive. A year after diagnosis, she started to develop intermittent dyspnea and was hospitalised on three occasions. Lung examinations revealed reduced breath sounds at both bases and dullness at the right base. Multiple chest radiographs showed bilateral raised hemi-diaphragms. Other investigations including CT pulmonary angiogram, high resolution CT of the thorax, ventilation-perfusion scan and echocardiogram were not significant. On the third hospital admission, we noticed bilateral small lung volumes in the previous high resolution CT scan. Inspiratory and expiratory chest radiographs were performed and showed minimal change in lung volumes and a diagnosis of shrinking lung syndrome (SLS) was made. Her SLE remained active with lupus nephritis despite multiple immunosuppression and she passed away two years later due to sepsis with multi-organ failure. Universiti Teknologi MARA Cawangan Selangor 2017-06 Article PeerReviewed text en http://ir.uitm.edu.my/id/eprint/30064/1/AJ_HAZLYNA%20BAHARUDDIN%20JCHS%20B%2017.pdf Baharuddin, Hazlyna and Mohd Zim, Mohd Arif and Rosman, Azmillah and Mohd Zain, Mollyza (2017) Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.]. Journal of Clinical and Health Science, 2 (1). pp. 1-4. ISSN 0127 – 984X https://jchs-medicine.uitm.edu.my/images/manuscript/vol2issue1/case-report/p35-38/07JCHS-28-Case-Report.pdf |
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Specialties of internal medicine Diseases of the lungs Baharuddin, Hazlyna Mohd Zim, Mohd Arif Rosman, Azmillah Mohd Zain, Mollyza Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
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Here we present a 24-year-old lady with systemic lupus erythematosus (SLE) whom we diagnosed with shrinking lung syndrome (SLS), a rare manifestation of SLE. The initial SLE manifestation was alopecia, thrombocytopenia, serositis and vasculitis. Anti-nuclear antibody (ANA), anti-double stranded DNA (dsDNA) antibody, anti-ribonucleic (RNP) and anti-Ro antibody were positive. A year after diagnosis, she started to develop intermittent dyspnea and was hospitalised on three occasions. Lung examinations revealed reduced breath sounds at both bases and dullness at the right base. Multiple chest radiographs showed bilateral raised hemi-diaphragms. Other investigations including CT pulmonary angiogram, high resolution CT of the thorax, ventilation-perfusion scan and echocardiogram were not significant. On the third hospital admission, we noticed bilateral small lung volumes in the previous high resolution CT scan. Inspiratory and expiratory chest radiographs were performed and showed minimal change in lung volumes and a diagnosis of shrinking lung syndrome (SLS) was made. Her SLE remained active with lupus nephritis despite multiple immunosuppression and she passed away two years later due to sepsis with multi-organ failure. |
format |
Article |
author |
Baharuddin, Hazlyna Mohd Zim, Mohd Arif Rosman, Azmillah Mohd Zain, Mollyza |
author_facet |
Baharuddin, Hazlyna Mohd Zim, Mohd Arif Rosman, Azmillah Mohd Zain, Mollyza |
author_sort |
Baharuddin, Hazlyna |
title |
Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
title_short |
Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
title_full |
Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
title_fullStr |
Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
title_full_unstemmed |
Shrinking Lung Syndrome – A rare cause of recurrent dyspnoea in SLE / Hazlyna Baharuddin … [et al.] |
title_sort |
shrinking lung syndrome – a rare cause of recurrent dyspnoea in sle / hazlyna baharuddin … [et al.] |
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Universiti Teknologi MARA Cawangan Selangor |
publishDate |
2017 |
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http://ir.uitm.edu.my/id/eprint/30064/1/AJ_HAZLYNA%20BAHARUDDIN%20JCHS%20B%2017.pdf http://ir.uitm.edu.my/id/eprint/30064/ https://jchs-medicine.uitm.edu.my/images/manuscript/vol2issue1/case-report/p35-38/07JCHS-28-Case-Report.pdf |
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