Case Report
J Rheum Dis 2017; 24(1): 43-47
Published online February 28, 2017
© Korean College of Rheumatology
Refractory Pleural Effusion in Systemic Lupus Erythematosus Treated by Pleurectomy
Correspondence to : Bin Yoo, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. E-mail：byoo@amc.seoul.kr
This is a Open Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.
Pleural effusion is a common pulmonary manifestation of systemic lupus erythematosus (SLE) and often occurs as bilateral exudative pleural effusion. The condition usually responds quickly to corticosteroid therapy. However, massive pleural effusion refractory to immunosuppressive drugs has rarely been reported; thus, the proper therapeutic modality is largely decided on a case-by-case basis. In this case, we describe successful treatment with surgical pleurectomy for massive refractory pleural effusion in a patient with SLE.
Keywords Systemic lupus erythematosus, Pleural effusion, Fibrothorax, Pleurectomy
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Case Report
J Rheum Dis 2017; 24(1): 43-47
Published online February 28, 2017 https://doi.org/10.4078/jrd.2017.24.1.43
Copyright © Korean College of Rheumatology.
Refractory Pleural Effusion in Systemic Lupus Erythematosus Treated by Pleurectomy
Sichan Kim1, Han-bit Park1, Yun Kyung Cho1, Sangyoung Yi1, Kyunghwan Oh1, Dong Kwan Kim2, Bin Yoo1
Departments of 1Internal Medicine, 2Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Correspondence to:Bin Yoo, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. E-mail：byoo@amc.seoul.kr
This is a Open Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Pleural effusion is a common pulmonary manifestation of systemic lupus erythematosus (SLE) and often occurs as bilateral exudative pleural effusion. The condition usually responds quickly to corticosteroid therapy. However, massive pleural effusion refractory to immunosuppressive drugs has rarely been reported; thus, the proper therapeutic modality is largely decided on a case-by-case basis. In this case, we describe successful treatment with surgical pleurectomy for massive refractory pleural effusion in a patient with SLE.
Keywords: Systemic lupus erythematosus, Pleural effusion, Fibrothorax, Pleurectomy
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