Lymphocytic interstitial pneumonia associated with systemic lupus erythematosus. An uncommon, but not inexistent condition
Neumonía intersticial linfocítica asociada a lupus eritematoso sistémico. Una neumopatía infrecuente pero no inexistente
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Lymphocytic interstitial pneumonia is an uncommon condition characterized by non-neoplastic lymphoid hyperplasia of the interstitial lymphoid tissue of the lung. It is associated with autoimmune phenomena or viral infections, human immunodeficiency virus or mononucleosis, as well as systemic lupus erythematosus, although it is uncommon. The symptoms vary: dry cough, chest pain, dyspnea, and, less often, fever, arthralgia, and weight loss.
We present the case of a 40-year old female with a background of systemic lupus erythematosus diagnosed in 1998, who presented with pulmonary illness consistent with lymphocytic interstitial pneumonia, confirmed by clinical, radiologic, and histopathologic findings. She was treated with corticoids, cyclophosphamide, azathioprine, and immunoglobulin; however, due to her compromised immunologic system, she has developed several infectious complications.
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