A RARE CASE OF POST TUBERCULAR PLEURAL EFFUSION WITH SEROPOSITIVE SYSTEMIC LUPUS ERYTHEMATOSUS WITH NSIP PATTERN INTERSTITIAL LUNG DISEASE

Abstract

Connective tissue disorders like systemic lupus erythematosus can have serious pulmonary complications like ILD. In this case report we had studied 25year male patient who came to OPD of Department of Respiratory Medicine NKPSIMS AND RC Nagpur Maharashtra, with complaint of breathlessness on exertion since 3-4 years and was on medication. Patient was case of post tubercular pleural effusion with Systemic Lupus Erythematosus(seropositive) with ILD. X ray chest showed prominent broncho-vascular markings in bilateral lung lobes. Pulmonary Function test showed Moderate Restriction with moderate obstruction with small airway disease. ANA & Anti-cardiolipin antibody tests were positive. Patient got symptomatically relief after starting tab Deazacort (oral steroids) and inhaled corticosteroids formoterol and beclomethasone (Inhaler) with hydroxychloroquine tablet. Thus, concluding that early treatment of SLE leads to better remission of ILD.