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(Chest. 1973;64:128-129.)
© 1973 American College of Chest Physicians

Systemic Lupus Erythematosus Presenting as Pulmonary Hemosiderosis

Richard B. Byrd F.C.C.P.1 and Gary Trunk 2

1 Chairman Department of Pulmonary Disease
2 Department of Pulmonary Disease, USAF Medical Center, Scott, Scott Air Force Base, Ill

A young man with recurrent hemoptysis was considered to have idiopathic pulmonary hemosiderosis (IPH) for five years before he developed widespread evidence of systemic lupus erythematosus (SLE). Except for minimal abnormalities on pulmonary function testing, the patient never manifested the other pulmonary changes commonly associated with SLE. Thus, SLE must be considered, in addition to IPH, in the patient with recurrent hemoptysis as an isolated symptom.




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