CTICasesAcute Lupus Pneumonitis and Serositis
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Imaging findings
A chest radiograph showed bilateral lung opacities, possibly with some pleural fluid. Five days later, persistent, patchy, consolidative parenchymal opacities were seen, mostly in the right lung, along with small pleural effusions and pericardial fluid.
Key takeaways
This case represents an initial presentation of systemic lupus erythematosus (SLE) with acute lupus pneumonitis and serositis (pleural and pericardial effusions). The patient had a very high ANA titer and other serological markers for SLE.
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