Abstract
Systemic Lupus Erythematous (SLE) is a chronic systemic disease which can involve multiple organs such as skin, kidney, and brain. Lung is another organ that can be affected. Pulmonary complications including pleuritis, pneumonitis, infectious pneumonia, pulmonary hemorrhage, pulmonary hypertension and pneumothorax have been reported in patients with SLE. Pulmonary involvement is relatively frequent in adult patients. It has infrequently been reported in children with SLE. However, pulmonary manifestations may be an initial and/or life-threatening complication of SLE. We report here a 4 year old Saudi girl who presented with prolonged fever and respiratory manifestations due to acute lupus pneumonitis associated with pulmonary Tuberculosis (TB) then developed recurrent pulmonary hemorrhage and acute respiratory failure.
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