1992 Volume 31 Issue 5 Pages 678-681
A 36 year-old woman was admitted to the hospital with the diagnosis of nephrotic syndrome due to lupus nephritis. The patient had panperitonitis caused by Staphylococcus aureus as a complication, and an emergency laparotomy was performed. After the operation, the patient developed a massive lung alveolar hemorrhage. Methylprednisolone pulse therapy showed a marked effect on the lung hemorrhage. It is known that lung alveolar hemorrhages associated with systemic lupus erythematosus have a very high mortality ; the present case is relatively rare because of the good response to steroid pulse therapy.
(Internal Medicine 31 : 678-681, 1992)