Korean Journal of Critical Care Medicine  2016;31(4):364-368

doi:10.4266/kjccm.2016.00451

Successful Use of Extracorporeal Membrane Oxygenation in Diffuse Alveolar Hemorrhage Secondary to Systemic Lupus Erythematosus.

Gyu Ho CHOI ; Mi Il KANG

Keywords

extracorporeal membrane oxygenation; lupus erythematosus, systemic; respiratory distress syndrome, adult

Country

Republic of Korea

Language

English

Abstract

Diffuse alveolar hemorrhage (DAH) is an uncommon complication in patients with systemic lupus erythematosus (SLE), and mortality remains high. In recent years, cases of DAH due to SLE treated with extracorporeal membrane oxygenation (ECMO) have rarely been reported. The authors present a case of a 43-year-old woman with SLE who had rapidly aggravating dyspnea and hemoptysis. She was diagnosed as having DAH with refractory respiratory failure and was successfully managed with veno-venous ECMO. We propose ECMO as a useful salvage therapy in patients with alveolar hemorrhage secondary to SLE who are failing conventional ventilatory support.