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Volume 11 Issue 3
May  2020
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Zi WANG, Bing-bin ZHAO, Jiu-liang ZHAO, Hua CHEN, Guo-tao MA, Jian-zhou LIU, Wen-qian CHEN, Chi SHAO, Jin-zhi LAI, Wei CHENG, Qi MIAO, Xiao-feng ZENG, Feng-chun ZHANG, Jin-jing LIU. Arthritis, Dyspnea and Hemoptysis on Exertion[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 347-353. DOI: 10.3969/j.issn.1674-9081.20190181
Citation: Zi WANG, Bing-bin ZHAO, Jiu-liang ZHAO, Hua CHEN, Guo-tao MA, Jian-zhou LIU, Wen-qian CHEN, Chi SHAO, Jin-zhi LAI, Wei CHENG, Qi MIAO, Xiao-feng ZENG, Feng-chun ZHANG, Jin-jing LIU. Arthritis, Dyspnea and Hemoptysis on Exertion[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 347-353. DOI: 10.3969/j.issn.1674-9081.20190181
shu

Arthritis, Dyspnea and Hemoptysis on Exertion

  • 1.

    Department of Hematology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Clinical Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100005, China

  • 3.

    Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 4.

    Department of Cardiac Surgery, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 5.

    Department of Heart Failure, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing 100037, China

  • 6.

    Department of Pulmonary and Critical Care Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 7.

    Department of Cardiology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 8.

    Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information
  • Corresponding author:

    LIU Jin-jing Tel: 86-10-69155004,E-mail:wingsforjane@163.com

  • Received Date: August 21, 2019
  • Issue Publish Date: May 29, 2020
    Graphical Abstract
    • Abstract
  • Intracardiac thrombus is a rare complication of Antiphospholipid syndrome secondary to systemic lupus erythematosus (SLE). Its treatment is extremely tough and requires a multidisciplinary approach. We reported a case of SLE with intracardiac thrombus and pulmonary embolism. The patient was complicated with hemoptysis and kidney injury, and had a high risk of sudden death from incidental thrombus shedding off. In the state of thrombosis and hemorrhage, the management of anticoagulation and the evaluation and treatment of the primary disease complicated with infection are challenging. The multidisciplinary collaboration helpedus to create a more favorable surgical condition while controlling SLE aggressively. After surgical treatment at the proper time, the outcome of the patient was satisfying.
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    • References (21)
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