1982 年 94 巻 7-8 号 p. 623-627
Pulmonary lesions of systemic lupus erythematosus (SLE) were examined using chest X-ray film and studied clinically from various lines of investigation.
1) As intrathoracic lesions of SLE, there were 7 pleurisy cases (10%), 18 pulmonary fibrosis cases (24%), 6 pneumonia cases (8%), 2 pulmonary mycosis cases (3%) and 2 pulmonary tuberculosis cases (3%).
2) A streaky pattern of the chest X-ray film in pulmonary fibrosis of SLE was most common with nodular, reticular and cystic pattern occurring seldom.
3) The distribution of pulmonary fibrosis of SLE was predominant in the middle-lower lung field.
4) Pulmonary fibrosis of SLE did not correlate with antinuclear antibody, rheumatic facter, anti-DNA antibody, anti-lung antibody, serum complement titer and renal involvement.
5) The pulmonary lesions of SLE were compared with those of other collagen diseases (PSS, RA, PM-DM), Pleural lesions and pulmonary infections were observed in many cases while pulmonary fibrosis was seldom obseved and mild when obseved.