Earlier Development of Limb Ulcers, Digital Bone Infarction and Pulmonary Hypertension in a Patient with SLE- A Rare Case Report

Authors

  • Muhammad Hezbullah Associate Professor (Medicine), Sylhet MAG Osmani Medical College, Sylhet
  • Shishir Ranjan Chakrabarty Associate Professor (Medicine), Sylhet MAG Osmani Medical College, Sylhet
  • Sharifa Sultana Assitant Professor (Pharmacology), Jalalabad Ragib Rabeya Medical College, Sylhet
  • Manwarul Haque Tohin Indoor medical officer (Medicine), Sylhet MAG Osmani Medical College Hospital, Sylhet
  • Kamrun Nahar Senior Medical Officer and Director (in charge), Institute of Nuclear Medicine & Allied Sciences, Sylhet

DOI:

https://doi.org/10.3329/jbcps.v35i3.34349

Keywords:

Limb ulcer, bone infarct, pulmonary hypertension, Systemic lupus erythematosus

Abstract

Systemic lupus erythematosus (SLE) is a multiorgan autoimmune disease in which skin is involved in up to 85% of cases. Lower extremity ulcers are an infrequent but disabling complication of SLE. Critical peripheral ischemia (CPI) is also an uncommon but potentially devastating feature of SLE. We reported a case o f SLE who presented with multiple ulcers along with digital infarcts of upper and lower limbs. She had features of digital bone infarct of left hand and right foot. She also had features of pulmonary interstitial involvement with pulmonary hypertension. All of these features were found within three months of disease onset which is very rare. She was treated with intravenous Methylprednisolone followed by oral Prednisolone, Hydroxychloroquinine, Azathioprine, Diuretic, Bosentan, Aspirin and Nifedipine in combinaton. Later warfarin was added after one month. She showed significant improvement after three months of treatment.

J Bangladesh Coll Phys Surg 2017; 35(3): 150-154

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Published

2017-10-22

How to Cite

Hezbullah, M., Chakrabarty, S. R., Sultana, S., Tohin, M. H., & Nahar, K. (2017). Earlier Development of Limb Ulcers, Digital Bone Infarction and Pulmonary Hypertension in a Patient with SLE- A Rare Case Report. Journal of Bangladesh College of Physicians and Surgeons, 35(3), 150–154. https://doi.org/10.3329/jbcps.v35i3.34349

Issue

Section

Case Reports