Systemic Lupus-Induced Diffuse Alveolar Hemorrhage Treated With Extracorporeal Membrane Oxygenation: A Case Report and Review of the Literature

Conclusions: Diffuse alveolar hemorrhage secondary to SLE is quite rare. The adult literature on the utilization of ECMO for DAH is limited mostly to antineutrophil cytoplasmic antibody (ANCA)-associated alveolar hemorrhage and a few reports of nonvasculitis DAH. Bleeding has been a contraindication to ECMO due to the need for systemic anticoagulation. Our case, along with a review of the literature, indicates that ECMO with anticoagulation can be safely utilized in patients with DAH. To our knowledge, this is the first reported adult case of DAH due to SLE successfully treated with ECMO.
Source: Journal of Intensive Care Medicine - Category: Intensive Care Authors: Tags: Case Reports Source Type: research