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Pneumonitis in a lupus twin pregnancy: a case report

Department of Rheumatology, St Bartholomew's and The London Hospital NHS Trust

D. D'Cruz

Department of Rheumatology, St Bartholomew's and The London Hospital NHS Trust

I. Thompson

Department of Histopathology, St Bartholomew's and The London Hospital NHS Trust

K. Erskine

Department of Obstetrics, The Homerton Hospital

J. Dacre

Department of Rheumatology, St Bartholomew's and The London Hospital NHS Trust

We describe a patient with systemic lupus erythematosus (SLE), whose pregnancy was com plicated by fulminant lupus pneumonitis and pericarditis. Maternal disease responded to therapy and twin girls were delivered, both with thrombocytopenia, one of whom died of an intraventricular haemorrhage. Pneumonitis is a rare complication of lupus in pregnancy which may be fatal. We suggest patients with previous severe pneumonitis should have lung function tests at the onset of pregnancy, and treatment be modified to suppress flare if there is any indication of severe pneumonitis in early pregnancy.

Key Words: systemic lupus erythematosus • pregnancy • pneumonitis

Lupus, Vol. 5, No. 2, 146-149 (1996)
DOI: 10.1177/096120339600500210


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