Massive haemorrhage: an unusual presentation of systemic lupus erythematosus

Wajeeha Qayyum; Sohail Khan; Muhammad Shahid Iqbal; Muhammad Fozan Khan; Zaland Ahmed Yousafzai; Saima Afaq

doi:10.1177/20542704211062041

Massive haemorrhage: an unusual presentation of systemic lupus erythematosus

Wajeeha Qayyum, Sohail Khan, Muhammad Shahid Iqbal, Muhammad Fozan Khan, Zaland Ahmed Yousafzai, Saima Afaq

Research output: Contribution to journal › Article › peer-review

Abstract

Systemic lupus erythematosus (SLE) usually affects young females and its presentation with haemorrhage is unusual. Intracerebral bleed (ICB) has been described in a few case reports, but massive haematuria has not been reported in the literature so far. Here, we present a case of a 56 year-old-lady who presented with expanding lobar bleed and massive haematuria as the first presentation of SLE secondary to vasculitis. Lupus vasculitis usually presents with thrombosis-related complications and although bleeding in this context is rare, it can lead to catastrophic consequences. Hence, vasculitis-related bleeding should be taken under consideration in a challenging situation like ours.

Original language	English
Number of pages	3
Journal	JRSM open
Volume	12
Issue number	11
DOIs	https://doi.org/10.1177/20542704211062041
Publication status	Published - Nov 2021

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10.1177/20542704211062041Licence: CC BY-NC

Cite this

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title = "Massive haemorrhage: an unusual presentation of systemic lupus erythematosus",

abstract = "Systemic lupus erythematosus (SLE) usually affects young females and its presentation with haemorrhage is unusual. Intracerebral bleed (ICB) has been described in a few case reports, but massive haematuria has not been reported in the literature so far. Here, we present a case of a 56 year-old-lady who presented with expanding lobar bleed and massive haematuria as the first presentation of SLE secondary to vasculitis. Lupus vasculitis usually presents with thrombosis-related complications and although bleeding in this context is rare, it can lead to catastrophic consequences. Hence, vasculitis-related bleeding should be taken under consideration in a challenging situation like ours.",

author = "Wajeeha Qayyum and Sohail Khan and Iqbal, {Muhammad Shahid} and Khan, {Muhammad Fozan} and Yousafzai, {Zaland Ahmed} and Saima Afaq",

year = "2021",

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language = "English",

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T1 - Massive haemorrhage

T2 - an unusual presentation of systemic lupus erythematosus

AU - Qayyum, Wajeeha

AU - Khan, Sohail

AU - Iqbal, Muhammad Shahid

AU - Khan, Muhammad Fozan

AU - Yousafzai, Zaland Ahmed

AU - Afaq, Saima

PY - 2021/11

Y1 - 2021/11

N2 - Systemic lupus erythematosus (SLE) usually affects young females and its presentation with haemorrhage is unusual. Intracerebral bleed (ICB) has been described in a few case reports, but massive haematuria has not been reported in the literature so far. Here, we present a case of a 56 year-old-lady who presented with expanding lobar bleed and massive haematuria as the first presentation of SLE secondary to vasculitis. Lupus vasculitis usually presents with thrombosis-related complications and although bleeding in this context is rare, it can lead to catastrophic consequences. Hence, vasculitis-related bleeding should be taken under consideration in a challenging situation like ours.

AB - Systemic lupus erythematosus (SLE) usually affects young females and its presentation with haemorrhage is unusual. Intracerebral bleed (ICB) has been described in a few case reports, but massive haematuria has not been reported in the literature so far. Here, we present a case of a 56 year-old-lady who presented with expanding lobar bleed and massive haematuria as the first presentation of SLE secondary to vasculitis. Lupus vasculitis usually presents with thrombosis-related complications and although bleeding in this context is rare, it can lead to catastrophic consequences. Hence, vasculitis-related bleeding should be taken under consideration in a challenging situation like ours.

U2 - 10.1177/20542704211062041

DO - 10.1177/20542704211062041

M3 - Article

C2 - 34868607

SN - 2054-2704

VL - 12

JO - JRSM open

JF - JRSM open

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