A Case of Macrophage Activation Syndrome Manifesting as the Initial Presentation of Systemic Lupus Erythematosus.

Autor: Suwal A; Internal medicine, Reading Hospital-Tower Health, Reading, USA., Shrestha B; Internal Medicine, Reading Hospital-Tower Health, Reading, USA., Paudel A; Internal Medicine, Reading Hospital-Tower Health, Reading, USA., Paudel R; Internal Medicine, Reading Hospital-Tower Health, Reading, USA., Basnet S; Internal Medicine, Reading Hospital-Tower Health, Reading, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Jun 27; Vol. 14 (6), pp. e26375. Date of Electronic Publication: 2022 Jun 27 (Print Publication: 2022).
DOI: 10.7759/cureus.26375
Abstrakt: Macrophage activation syndrome (MAS) is a potentially fatal complication of an autoimmune rheumatologic disease characterized by overwhelming inflammation, multiorgan failure, and high mortality if untreated. We report a rare case of a 56-year-old man who presented with fever for three weeks and had a constellation of clinical features and laboratory findings, meeting the diagnostic criteria for systemic lupus erythematosus (SLE) and SLE-associated MAS. He was treated with high dose intravenous corticosteroid and hydroxychloroquine, resulting in resolution of fever and dramatic clinical improvement.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Suwal et al.)
Databáze: MEDLINE