Study of pulmonary manifestations in systemic lupus erythematosus cases
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Objectives: To Study the pulmonary manifestations in systemic lupus erythematosus cases observed in tertiary care institute. Materials and Method: The patients attending outpatient departments or admitted to wards during the period, who fulfilled the revised ACR criteria for classification of SLE were included in the study. Detailed medical history including age, sex, age of onset, duration of illness and various clinical presentations especially pulmonary manifestations (e.g. cough, chest pain, dyspnea and cyanosis) was recorded in a preformed proforma. Thorough clinical examination with special attention to chest examination was performed in all the study patients. Plain X-ray chest and HRCT was performed in all the patients. Pulmonary function tests also performed in all the patients and the findings observed were recorded. Results: The proportion of female was more as compared to male. 28% patients presented with symptom of pulmonary manifestations. The most common symptom observed was cough followed by exertional dyspnoea and chest pain. On chest X ray it was observed that 32% patients showed positive X-ray findings. Pulmonary function test with decreased diffusion lung capacity was observed in 86% patients. HRCT is found to have interstitial lung pattern in 72% patients. Conclusion: Pulmonary manifestations on clinical presentation were positive in 28% patients whereas on X-ray chest it was positive in 32% patients. PFT and HRCT showed pulmonary manifestations in 68% and 72% patients. Thus HRCT detected pulmonary involvement in a significant number of patients who are often asymptomatic
Authors and Affiliations
Manohar Joshi, Manish Pendse, Gayatri Pendse
Keywords
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