A Diagnostic Difficulty on ANA Negative/ Seronegative Systemic Lupus Erythematosus with Diffuse Alveolar Haemorrhage
For one month, a 45-year-old hypertensive lady suffered with a dry cough, dyspnea, and a crusted nonhealing lesion on her right ankle. Her anaemia, proteinuria, and thrombocytopenia were all getting worse. Pulmonary hypertension, a thrombus in the left internal jugular vein, and bilateral multilobar opacities were discovered on a CT pulmonary angiography. The right popliteal…
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