Conversation: The conversation between human and AI assistant.
[|Human|] I have autoimmunity. I have a lupus like syndrome that I m still being worked up for. I was recently put on Plsquenil and am starting to feel better but still have occasional shortness of breath and a recent flare that caused phlebitis with bruising. I have vasculitis. Today I sneezed and a fibrous blood clot came out of my lungs. I m wondering if I should be concerned and what if anything I should do. I go to the dr a lot and don t want to go again for no reason.
[|AI|]  Thanks for your question on Chat Doctor. You are having Hemoptysis (blood in sputum).  It is common in autoimmune vasculitis like SHE (Systemic Lupus Erythematous). And Hemoptysis suggest pulmonary involvement. Pulmonary lesions in SHE are1. Fibrosis2. Interstitial pneumonia3. Ground glass opacification4. Nodules5. Pulmonary embolism.  Etc better to consult pulmonologist and get done CT THORAX with contrast to rule out all these. It is advisable to consult doctor.