MILIARY TUBERCULOSIS DEVELOPING DURING PROLONGED CORTISONE THERAPY OF SYSTEMIC LUPUS ERYTHEMATOSUS
Authors: H M HILL, J D KIRSHBAUM
Journal: Annals of Internal Medicine (1956)

Case Reports1 April 1956MILIARY TUBERCULOSIS DEVELOPING DURING PROLONGED CORTISONE THERAPY OF SYSTEMIC LUPUS ERYTHEMATOSUSHAROLD M. HILL, M.D., J. D. KIRSHBAUM, M.D., F.A.C.P.HAROLD M. HILL, M.D.Search for more papers by this author, J. D. KIRSHBAUM, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-4-781 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA recently published case, reported by Davidson, Fox and Gold,1described the appearance of miliary tuberculosis in a case of systemic lupus erythematosus during the course of ACTH and cortisone therapy. This paper presents an additional case of miliary tuberculosis developing under the same circumstances, and is of particular interest because of its many similarities to the previously reported one, including the absence of characteristic microscopic lesions of systemic lupus erythematosus at autopsy, in spite of typical clinical findings and the demonstration of L. E. cells. In addition, this case demonstrates several of the hazards of prolonged maintenance of therapeutic...Bibliography1. DavidsonFoxGold AGLJJ: Appearance of miliary tuberculosis following therapy with ACTH and cortisone in a case of acute disseminated lupus erythematosus, Ann. Int. Med. 38: 852-862, 1953. LinkGoogle Scholar2. Harrison TR, Ed.: Principles of internal medicine, 1st Ed., 1950, The Blakiston Co., New York, N. Y., p. 466. Google Scholar3. Dubois EL: The effect of the L. E. cell test on the clinical picture of systemic lupus erythematosus, Ann. Int. Med. 38: 1265-1294, 1953. LinkGoogle Scholar4. JessarLamont-HaversRagan RARWC: Natural history of lupus erythematosus disseminatus, Ann. Int. Med. 38: 717-731, 1953. LinkGoogle Scholar5. SofferBader LJR: Corticotropin and cortisone in acute disseminated lupus erythematosus, J. A. M. A. 149: 1002-1008, 1952. CrossrefMedlineGoogle Scholar6. Slocumb CH: Rheumatic complaints during hypercortisonism and syndromes during withdrawal of cortisone in rheumatic patients, Proc. Staff. Meet., Mayo Clin. 28: 655-657 (Nov. 18) 1953. MedlineGoogle Scholar7. KlempererPollockBaehr PADG: Pathology of disseminated lupus erythematosus, Arch. Path. 32: 569, 1941. Google Scholar8. DuboisCommonsStarrSteinMorrison ELMDPCSR: Corticotropin and cortisone treatment for systemic lupus erythematosus, J. A. M. A. 149: 995-1002, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Redlands, California*Received for publication January 14, 1955.From the Departments of Medicine and Pathology, Redlands Community Hospital, Redlands, California, and San Bernardino County Hospital, San Bernardino, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTuberculosis-associated hemophagocytic lymphohistiocytosis misdiagnosed as systemic lupus erythematosus: A case reportRole of Infections in the Pathogenesis of Rheumatoid Arthritis: Focus on MycobacteriaDisseminated tuberculosis masquerading as a presentation of systemic lupus erythematosusMycobacteria and autoimmunityCan Lupus Flares be Associated with Tuberculosis Infection?Case 48-1986Steroid therapy of systemic lupus erythematosus based on immunologic considerationsProphylaxis in patients receiving adrenal steroid therapyTuberculosis occurring in association with corticosteroid treatmentPulmonary tuberculosis following treatment with corticosteroidsRHEUMATISM AND ARTHRITIS: REVIEW OF AMERICAN AND ENGLISH LITERATURE OF RECENT YEARS (THIRTEENTH RHEUMATISM REVIEW)*CHARLEY J. SMYTH, M.D., F.A.C.P., ROGER L. BLACK, M.D., FELIX E. DEMARTINI, M.D., IVAN F. DUFF, M.D., F.A.C.P., EPHRAIM P. ENGLEMAN, M.D., F.A.C.P., DONALD C. GRAHAM, M.D., F.R.C.P.(C), MAX M. MONTGOMERY, M.D., F.A.C.P., HOWARD F. POLLEY, M.D., F.A.C.P., EDWARD F. ROSENBERG, M.D., F.A.C.P., CARLOS F. SACASA, M.D., F.A.C.P., OTTO STEINBROCKER, M.D., HANS WAINE, M.D., GEORGE M. WILSON JR., M.D.PLEURITIS IN SYSTEMIC LUPUS ERYTHEMATOSUS: ITS IMPORTANCE AS AN EARLY MANIFESTATION IN DIAGNOSIS*WILLIAM A. WINSLOW, M.D., LESTER N. PLOSS, M.D., BERNARD LOITMAN, M.D.ACTH and Adrenocorticosteroids as Therapeutic Adjuncts in Infectious DiseasesEmergency Aspects of Corticosteroid Therapy 1 April 1956Volume 44, Issue 4Page: 781-790KeywordsAdrenocorticotropic hormoneDuodenal ulcersGastric ulcersHospital medicineLupus erythematosusMiliary tuberculosisNecrosisOral administrationPancreasTuberculosis ePublished: 1 December 2008 Issue Published: 1 April 1956 PDF downloadLoading ...