Case Challenge #10

A 32 year old female with SLE (on plaquenil) presents with fevers, easy bruising and SOB. No recent sick contacts or travel.

On exam: Tmax 102.1, HR 110, BP 95/60. Petechiae in oral mucosa. + HSM.

Labs: Pancytopenia, AST 325, ALT 410, bilirubin 5.6, INR 1.6. Ferritin 14k, LDH 560, Trigs 650. Blood Cx ngtd, UA normal.

CXR: bilateral pulmonary infiltrates

 

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