Splenic calcification in systemic lupus erythematosus.
نویسندگان
چکیده
Elzein FE, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222206 Description A 39-year-old woman with known systemic lupus erythematosus (SLE) nephropathy, antiphospholipid syndrome and chronic renal failure was evaluated for renal transplant. She was asymptomatic; nevertheless, the abdominal ultrasonogram showed splenic calcification (figure 1). The chest radiograph showed faint lesions suggestive of (L) hypochondrial calcification (figure 2). The tuberculin skin test result revealed induration of 3 mm. She had no history of treatment for tuberculosis or brucellosis. The angiotensin-converting enzyme was normal at 19 U/L (normal range 29–112 U/L). A CT scan of the abdomen and pelvis showed a bulky spleen that contained numerous small and differently sized smooth calcific foci probably related to granulomatous disease. No calcification was seen in the liver (figure 3A, B). There were no definite or suspicious pulmonary nodules seen on a whole body fluorodeoxyglucose positron-emission tomography (PET) scan. Similarly, numerous tiny splenic calcifications with no abnormal metabolic activity were detected (figure 4). The haemoglobin level was 11.5 g/dL, white blood count was 7.1×10/L, platelet count was 244×10/L and erythrocyte sedimentation rate was 22 mm/hour. Results of the sickling test, HIV, brucella serology and hydatid and schistosoma serology tests were all negative. She was
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عنوان ژورنال:
- BMJ case reports
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017