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Eldaabossi S, Alrashdan M, Aljanobi G, Warsha N, Abo Elhassan S, Mahdi W, Farouk A, Taha A, Qabil A, Maklad S, Nabway U, Kenany H, Jaber Y, Zaghloul B. A rare association: Obesity hypoventilation syndrome with myasthenia gravis and systemic lupus erythematosus, case report. Respir Med Case Rep 2023; 44:101848. [PMID: 37251356 PMCID: PMC10209446 DOI: 10.1016/j.rmcr.2023.101848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 03/16/2023] [Accepted: 04/06/2023] [Indexed: 05/31/2023] Open
Abstract
Background Shrinking lung syndrome (SLS) is an uncommon complication of systemic lupus erythematosus (SLE) that has also been seen in other autoimmune diseases and is linked with a high risk of acute or chronic respiratory failure. Alveolar hypoventilation in the presence of obesity-hypoventilation syndrome, systemic lupus erythematosus (SLE), and myasthenia gravis (MG) is uncommon and poses a diagnostic and therapeutic challenge. Case report We reported a 33-year-old female patient from Saudi Arabia who suffered from obesity, bronchial asthma, newly diagnosed essential hypertension, type 2 diabetes mellitus, with recurrent acute alveolar hypoventilation, secondary to obesity hypoventilation syndrome and mixed autoimmune disease (systemic lupus erythematosus and myasthenia gravis), based on the correct constellation of clinical findings and laboratory evidence. Conclusion The interesting aspect of this case report: is the presentation of the overlap of obesity hypoventilation syndrome and shrinking lung syndrome due to systemic lupus erythematosus with generalized and respiratory muscle dysfunction due to myasthenia gravis with good outcomes after therapy.
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Affiliation(s)
- Safwat Eldaabossi
- Pulmonology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
- Department of Chest Diseases, Al Azhar Faculty of Medicine, Egypt
| | - Man Alrashdan
- Department of Chest Diseases, Al Azhar Faculty of Medicine, Egypt
| | - Ghada Aljanobi
- Rheumatology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Noha Warsha
- Rheumatology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Saber Abo Elhassan
- Neurology Consultant, Almoosa Specialist Hospital, Al Ahsa. Saudi Arabia. Department of Neurology, Assuit Faculty of Medicine, Egypt
| | - Waheed Mahdi
- Critical Care and Pulmonary Consultant, Almoosa Specialist Hospital, Al Ahsa. Saudi Arabia. Department of Chest Diseases, Banha Faculty of Medicine, Egypt
| | - Abdullah Farouk
- Critical Care Consultant, Almoosa Specialist Hospital, Al Ahsa. Saudi Arabia. Department of Critical Care, Alexandria Faculty of Medicine, Egypt
| | - Ahmad Taha
- Pulmonology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Ahmad Qabil
- Pulmonology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Sameh Maklad
- Pulmonology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Usama Nabway
- Pulmonology Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia
| | - Hatem Kenany
- Consultant Critical Care and Anesthesia, Al Azhar Faculty of Medicine, Egypt
| | - Yasser Jaber
- Radiology Consultant, Almoosa Specialist Hospital, Al Ahsa. Saudi Arabia. Department of Radiology, Al Azhar Faculty of Medicine, Egypt
| | - Boshra Zaghloul
- Department of Radiology, Al Azhar Faculty of Medicine for Girls, Egypt
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