Citation Information :
Singh DP, Choudhari OK, Ojha UC. A Male with SLE and Familial Hyperhomocysteinemia: A Rare Presentation. Indian J Chest Dis Allied Sci 2017; 59 (1):35-37.
We report a case of a 45-year-old male patient with sudden onset dyspnoea, cough and streaky haemoptysis. The patient was already being treated with anti-tuberculosis drugs by a general practitioner for suspected tubercular pleural effusion for the last 8 months. Computed tomography-pulmonary angiography revealed pulmonary thrombo-embolism. As patient have high plasma homocysteine values, further work-up of the patient including a detailed history taking, physical and laboratory examination established a diagnosis of systemic lupus erythematosus (SLE). Patient was treated with heparin, vitamin B12 and folic acid supplementation in addition to corticosteroids, along with supportive and symptomatic treatment. However, the progressive course the illness resulted in the development of chronic interstitial pneumonia and he succumbed to the illness.
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