Case report: fever and hypoxia in steroid treated SLE

Another good case report from Arthritis Care & Research:

The patient is a 38-year-old previously healthy Hispanic woman with recently diagnosed SLE characterized by fevers, fatigue, polyarthritis, myositis, ANA, antibodies to SSA/Ro, leukopenia, lymphopenia, thrombocytopenia, transaminitis, and HRCT evidence of ILD. She had been treated with high-dose corticosteroids for the past month, and she presented to our institution with fever and acute respiratory distress with findings of diffuse ILD and right lower lobe consolidation on CT.

Demoruelle, M. K., Kahr, A., Verilhac, K., Deane, K., Fischer, A. and West, S. (2013), Recent-onset systemic lupus erythematosus complicated by acute respiratory failure . Arthritis Care Res, 65: 314–323. doi: 10.1002/acr.21857