Question 29 · LEK · Systemic lupus erythematosus
In a patient with systemic lupus erythematosus with the involvement of the respiratory system in the form of lupus pneumonitis, the following treatment may be applied:
- A. glucocorticosteroids in large doses orally or in i.v. pulses.
- B. cyclophosphamide i.v. in pulses.
- C. plasmapheresis.
- D. azathioprine, especially as a maintenance therapy after cyclophosphamide induction.
- E. all the above.
Hint
Acute lupus pneumonitis is a life-threatening organ manifestation; consider induction, rescue and maintenance options together.
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