BMJ Case Reports 2009; doi:10.1136/bcr.08.2008.0825
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Shrinking lung syndrome

  1. Tony Jeanmenne1,
  2. Nishith K Singh1,
  3. Michael Pick2
  1. 1
    Southern Illinois University School of Medicine, Internal Medicine, 701 N. First Street, Springfield, IL 62704, USA
  2. 2
    Springfield Clinic 1st - Rheumatology, Medicine, 800 N. First Street, Springfield, IL 62702, USA
  1. nishith_singh2007{at}
  • Published 27 February 2009


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 lung volumes …

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