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AB0080 Treatment failure pulmonary haemorrhage of sistemic lupus
  1. S Holgado,
  2. A Olivé,
  3. M Gumà,
  4. V Ortiz-Santamaría,
  5. M Valls,
  6. A Lafont,
  7. E Casado,
  8. X Tena
  1. Rheumatology, Hospital Universitari Germans Trias, Badalona, Spain

Abstract

Objectives To describe the treatment and outcome of patients with SLE and pulmonary haemorrhage.

Methods Retrospective study (1989–2000). Centre: Universitary Hospital. Area: 700,000 inhabitans. SLE clinic: 154 SLE patients were reviewed. All patients fulfilled the ACR criteria for SLE.

Results All patients received plasmapheresis, 3 bolus of cyclophosphamide 12 mg/kg/day and prednisone 2 mg/kg/day iv. Mechanical ventilation was employed in all patients. Death was secondary to nosocomial infections.

Abstract AB0080 Table 1

Conclusion Pulmonary haemorrhage is a rare and often fatal complication of SLE. There are no uniform recommendations for treatment. Mechanical ventilation and inmunosupresors were a risk factor for a increase mortality.

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