Case Report

Diffuse Alveolar Hemorrhage in Systemic Lupus Erythematosus: Histopathologic Features and Clinical Correlations

Table 1

Selected differential diagnoses of the three histologic patterns of diffuse alveolar hemorrhage (after Park [1]).

Histologic patternsDiseases

Capillaritis

Systemic vasculitidesBehçet’s syndrome
Cryoglobulinemia
Granulomatosis with polyangiitis
Henoch- Schönlein purpura

Rheumatic diseasesRheumatoid arthritis
Systemic lupus erythematosus
Antiphospholipid antibodies

DrugsHydralazine
TNF-alpha antagonists

Bland hemorrhage

Connective tissue diseaseGoodpasture disease
Systemic lupus erythematosus

DrugsAnticoagulant therapy
Platelet glycoprotein IIB/IIIA inhibitors

Diffuse alveolar damage

InfectionInfection leading to ARDS (viral, bacterial)
Opportunistic infections in compromised host

Rheumatic diseasesPolymyositis
Systemic lupus erythematosus