DAH – SLE — RACP Paediatrics MCQ

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HardRespiratoryDAH – SLERACP Paediatrics

A 12-year-old with SLE has acute haemoptysis, falling Hb, and diffuse bilateral alveolar infiltrates. What is the most likely pulmonary complication?

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Correct answer: D — Pulmonary haemorrhage

Diffuse alveolar haemorrhage in SLE presents with haemoptysis, acute respiratory failure, bilateral infiltrates, and falling Hb. Treatment is high-dose methylprednisolone and cyclophosphamide.

Reference: RACP Paediatric Curriculum – Respiratory/Rheumatology