YF Yip, WKY Chan

Abstract

We reported a 15-year-old boy, who was well all along, presented to us with acute respiratory failure caused by acute lupus pneumonitis (ALP). The immediate differentiation of ALP from other causes of acute respiratory failure is of utmost importance. Early bronchoalveolar lavage for microscopic examination and microbiological study assists in arriving at the diagnosis. Early trial of immunosuppressive treatment in patients with ALP is life saving.

本文報導一名 15 歲男童，既往史正常，以急性狼瘡肺炎（ALP）導致的急性肺衰竭症狀發病。快速鑒別 ALP 及其他原因導致的急性呼吸衰竭非常重要。運用早期肺泡灌洗液鏡檢及微生物學檢查得以診斷，並及早地對 ALP 患者進行免疫抑制治療從而挽救了患者。