Acute Tracheal Necrosis After Intubation in a Childhood Onset Systemic Lupus Erythematosus.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33563456.
- Also identified by DOI 10.1016/j.chest.2020.08.2076.
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Abstract
Upper airway involvement in systemic lupus erythematosus (SLE) disease process is uncommon. A 15-year-old girl, a known patient with class IVA lupus nephritis, presented in acute renal failure due to flare-up of SLE. She underwent an uneventful elective intubation procedure for placement of a hemodialysis catheter. After 36 hours of extubation, she developed biphasic stridor and severe shortness of breath that was unresponsive to multiple medications. Prompt airway evaluation by laryngoscopy and confirmation of acute tracheal necrosis by histopathology along with reintubation and high-dose steroid therapy resulted in good outcome and recovery.
Medical subject headings
- Intubation, Intratracheal
- Lupus Nephritis
- Trachea