Abstract
A 68-year-old woman with systemic sclerosis developed acute respiratory failure due to diffuse alveolar hemorrhage and normotensive scleroderma renal crisis (SRC) shortly after the initiation of corticosteroid therapy. Treatment with angiotensin-converting enzyme inhibitor and plasmapheresis had failed in this patient. Autopsy showed diffuse alveolar damage and thrombotic micro-angiopathy. The sequence of events in this patient clarifies the pathologic process of normotensive SRC, and suggests a causative role of corticosteroid therapy and normotensive SRC.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Naniwa, T., Banno, S., Takahashi, N. et al. Normotensive scleroderma renal crisis with diffuse alveolar damage after corticosteroid therapy. Mod Rheumatol 15, 134–138 (2005). https://doi.org/10.1007/s10165-004-0379-1
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10165-004-0379-1