-transparent.png){kind=logo}
Identical twins were simultaneously diagnosed with systemic lupus erythematosus (SLE) at the age of 12. Later, both developed pulmonary involvement of SLE including pleural effusions, pleuritis, and recurrent bronchopneumonia. In their last year of life, their pulmonary condition deteriorated and they died of severe pulmonary hypertension at the age of 20. At autopsy, small to large pulmonary arterial walls were markedly thickened. There was no SLE renal involvement. Pulmonary hypertension in SLE without pulmonary parenchyma involvement is extremely rare, with only 18 such cases reported. This is the first report of pulmonary hypertension observed in identical twins with a similar clinical course. This case may suggest the possible genetic fate of pulmonary involvement of SLE.
L Wilson, and
T Tomita, and
M Braniecki
January 1958,
New York state journal of medicine,
L Wilson, and
T Tomita, and
M Braniecki
January 1981,
Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine,
L Wilson, and
T Tomita, and
M Braniecki
January 1971,
Acta rheumatologica Scandinavica,
L Wilson, and
T Tomita, and
M Braniecki
February 1965,
The American journal of the medical sciences,
L Wilson, and
T Tomita, and
M Braniecki
January 2005,
Modern rheumatology,
L Wilson, and
T Tomita, and
M Braniecki
March 1967,
Archives of internal medicine,
L Wilson, and
T Tomita, and
M Braniecki
January 1996,
Internal medicine (Tokyo, Japan),
L Wilson, and
T Tomita, and
M Braniecki
October 1975,
Ryumachi. [Rheumatism],
L Wilson, and
T Tomita, and
M Braniecki
August 1963,
JAMA,
L Wilson, and
T Tomita, and
M Braniecki
December 1985,
The Journal of the Association of Physicians of India,
