Pulmonary Sequalae of a Rheumatological Disease Systemic Lupus Erythematosus as Nonspecific Interstitial Pneumonitis in a Diagnosed Case of Extrapulmonary Tuberculosis

Abstract

Rheumatological Diseases like Systemic Lupus Erythematosus (SLE) can present with multisystem features. It can involve many of the organs involving the Lungs. In this case report, we studied a 30 years old male patient who presented to pulmonary medicine OPD at Lata Mangeshkar Hospital and Research center Nagpur Maharashtra with a complaint of Chest tightness for 5-6 months. The patient had been diagnosed as an Extra Pulmonary Tuberculosis case (EPTB) with Non-Specific Interstitial Pneumonitis with Systemic Lupus Erythematosus. Chest x-ray showed Bilateral Reticular shadows with prominent markings. Pulmonary function tests showed a mixed pattern (restrictive and obstructive). Anti-cardiolipin antibody and ANA antibody were positive. The patient got relief on treatment with a course of oral corticosteroids as well as add-on inhaled corticosteroids with Hydroxychloroquine tablets. so early treatment of SLE leads to better response to Nonspecific interstitial Pneumonitis