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Systemic lupus erythematosus presenting with lymphoid interstitial pneumonia as an initial manifestation

Abstract

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

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