Pulmonary involvement in systemic lupus erythematosus (SLE) can take the form of pleuritis, interstitial lung disease, alveolar hemorrhage, or pulmonary hypertension, but rarely does it appear as pulmonary vein vasculitis1.
A 19-year-old woman was diagnosed with SLE 6 months before presentation because of malar rash, alopecia, arthritis, leukocytopenia, low complement, and positive anti-DNA antibody, and 30 mg daily prednisolone (PSL) treatment was started. Fever, skin ulcers on the scalp, and dry cough appeared 2 months before presentation, while she was taking …