Article Text

Download PDFPDF
Systemic lupus erythematosus presenting with lymphoid interstitial pneumonia as an initial manifestation
  1. Akiko Maeda1,
  2. Mitsuyo Kinjo2,
  3. Kiyoshi Kinjo2 and
  4. Tomoo Kishaba1
  1. 1Department of Respiratory Medicine, Okinawa Chubu Hospital, Uruma, Japan
  2. 2Department of Internal Medicine, Okinawa Chubu Hospital, Uruma, Japan
  1. Correspondence to Dr Akiko Maeda; orangepeco610{at}


A 25-year-old woman with an extensive travel history developed chronic cough and multiple lung nodules. The lung biopsy revealed lymphoid interstitial pneumonia. The patient later developed cervical lymphadenopathy, arthritis and livedo reticularis, then systemic lupus erythematosus was diagnosed with positive double-stranded DNA and low complement. The patient’s symptoms responded to prednisolone and azathioprine.

  • connective tissue disease
  • systemic lupus erythematosus
  • interstitial lung disease

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors AM and MK handled this case. AM and KK designed this case report. AM and TK collected data and analysed it for table 2. AM wrote this case report. All authors reviewed and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.