1. From TTP to Glomerulonephritis: A Lifetime of Lupus.
- Author
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Kharouf, Fadi, Shahar, Sigal, Hershkovitz, Yoav, Shaheen, Alaa, Bayatra, Areej, Kessler, Asa, and Ishay, Yuval
- Subjects
LUPUS nephritis ,THROMBOTIC thrombocytopenic purpura ,VENOUS thrombosis ,DIAGNOSIS ,SYSTEMIC lupus erythematosus ,SERODIAGNOSIS - Abstract
We report the case of a 56-year-old male patient, who over two decades, sequentially presented with a combination of clinical manifestations. These included thrombotic thrombocytopenic purpura (TTP), right leg deep vein thrombosis (DVT), and eventually constitutional symptoms, arthralgia, diffuse lymphadenopathy, pancytopenia, skin rash, pericarditis, and glomerulonephritis. Serologic tests and renal pathology uncovered a diagnosis of systemic lupus erythematosus (SLE), and immunosuppressive therapy was initiated. Soon after, the patient developed striking cytomegalovirus (CMV) viremia, requiring prolonged antiviral therapy and reduction of immunosuppression. Finally, an acute embolic stroke complicated the disease course. Prompt interventions allowed an excellent clinical outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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