Antimalarial effect in vitro and lack of modulating effect of desipramine and imipramine |
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Authors: | CM Menezes K Kirchgatter SM Di Santi C Savalli FG Monteiro GA Paula EI Ferreira |
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Affiliation: | Department of Pediatrics, Hospital for Sick Children, University of Toronto, Canada. |
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Abstract: | Pulmonary hemorrhage (PH) is a rare but potentially life-threatening manifestation of systemic lupus erythematosus (SLE). In this report we describe a 13 year old girl with PH as the sole presenting clinical manifestation of her SLE. Her serology was diagnostic of SLE and one year after presentation she developed arthritis. She had a rapid serologic but delayed clinical response to combination therapy of intravenous pulse methylprednisolone, pulse cyclophosphamide and daily prednisone. Awareness of the possibility of pulmonary hemorrhage as a presentation of SLE may aid in the diagnosis and early, aggressive management of this condition. |
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