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Published 27 February 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.08.2008.0825]
Copyright © 2009 by the BMJ Publishing Group Ltd.

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Shrinking lung syndrome

Tony Jeanmenne1, Nishith K Singh1, Michael Pick2

1 Southern Illinois University School of Medicine, Internal Medicine, 701 N. First Street, Springfield, IL 62704, USA
2 Springfield Clinic 1st - Rheumatology, Medicine, 800 N. First Street, Springfield, IL 62702, USA

Correspondence to:
nishith_singh2007@yahoo.com

The first 20% of the full text of this article appears below.

DESCRIPTION

A 52-year-old female with systemic lupus erythematosus (SLE) and with arthritis, autoimmune hepatitis and polyserositis, was admitted with gradually worsening dyspnoea on exertion since her SLE diagnosis 2 years earlier. The patient was orthopnoeic and examination revealed paradoxical diaphragmatic movement with inspiration. Chest x ray showed bilateral elevated hemi-diaphragms and atelectasis at both lung bases (fig 1). Computed tomography (CT) imaging revealed profound low . . . [Full Text of this Article]


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