Tuberc Respir Dis > Volume 65(4); 2008 > Article
Tuberculosis and Respiratory Diseases 2008;65(4):323-327.
DOI: https://doi.org/10.4046/trd.2008.65.4.323    Published online October 1, 2008.
Systemic Lupus Erythematosus Associated with Interstitial Pneumonia and Achalasia.
Hye Lee Kwon, Kyung Wook Hong, Seung Jin Lim, So Young Park, Young Deok Bae, Kyung Ho Kim, Jeong Hee Choi, Eun Kyung Mo, Yong Bum Park
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. bfspark@medimail.co.kr
Abstract
Systemic lupus erythematosus (SLE) is a multisystem disorder where the etiology is not clearly known. Symptomatic chronic interstitial pneumonitis is an uncommon manifestation, with a reported prevalence of 3~13%. Achalasia is rare disease that presents with failure in the relaxation of the esophagus sphincter. A 22-year-old woman was admitted to our hospital because of fever, cough and dyspnea. The patient had a history of pericardial effusion and Raynaud's phenomenon. The results of laboratory tests indicated the presence of lymphopenia and included positive antibody tests for antinuclear antibody and anti Sm antibody. A chest X-ray demonstrated the presence of peribronchial infiltration on both lung fields. A Chest CT image showed interlobar septal thickening, ground-glass opacity and a honeycomb appearance in both lung fields and esophageal dilatation with air fluid level. An esophagogram showed the presence of dilated esophagus ends that represented the non-relaxed lower esophageal sphincter. Manometry demonstrated incomplete sphincter relaxation. The case was diagnosed as systemic lupus erythematosus associated with interstitial pneumonia and achalasia.
Key Words: Interstitial pneumonia, Achalasia, SLE


ABOUT
ARTICLE & TOPICS
Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES
FOR CONTRIBUTORS
Editorial Office
101-605, 58, Banpo-daero, Seocho-gu (Seocho-dong, Seocho Art-Xi), Seoul 06652, Korea
Tel: +82-2-575-3825, +82-2-576-5347    Fax: +82-2-572-6683    E-mail: katrdsubmit@lungkorea.org                

Copyright © 2024 by The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Developed in M2PI

Close layer
prev next