Shrinking lung syndrome in autoimmune inflammatory diseases: A case series and review of literature
Xiao-chan Chen, Shan He, Jing Xue
Table 2. Clinical characteristics and outcome of 225 SLE patients and 10 non-SLE patients with shrinking lung syndrome
Variables SLE (n=225) Non-SLE (n=10)
General characteristics
Age, years, median (range) 32 (11-69) 48 (15-68)
Sex (female/male) 208/17 9/1
Duration of the primary disease,
years, median (range)
5.4 (0-33.0) 2.8 (0-10.0)
Clinical manifestations, n (%)
Dyspnea 201/203 (99.0) 10/10 (100.0)
Pleuritic chest pain 127/160 (79.4) 6/10 (60.0)
Cough 38/118 (32.2) 2/10 (20.0)
Image, PFT, and EMG findings, n (%)
Diaphragm elevation 186/204 (91.2) 9/10 (90.0)
Pleural effusion 71/204 (34.8) 5/10 (50.0)
Atelectasis 31/204 (15.2) 7/10 (70.0)
Pleural thickening 24/204 (11.7) 2/10 (20.0)
PFT restrictive pattern 198/205 (96.6) 10/10 (100.0)
Phrenic nerve desfunction 3/16 (18.8) 3/4 (75.0)
Treatment, n (%)
Glucocorticoids 166/175 (94.9) 10/10 (100.0)
Azathioprine 46/175 (26.3) 3/10 (30.0)
Cyclophosphamide 33/175 (18.9) 2/10 (20.0)
Mycophenolate mofetil 20/175 (11.4) 1/10 (10.0)
Methotrexate 9/175 (5.1) 0
Rituximab 18/175 (10.3) 3/10 (30.0)
Beliuumab 2/175 (1.1) 0
Outcome, n (%)
Clinical improvement 78/106 (73.6) 10/10 (100.0)
PFT improvement 37/68 (54.4) 6/8 (75.0)
Image improvement 10/46 (21.7) 6/8 (75.0)