9. SLE; chronic pleuritis with interstitial pneumonitis and
fibrosis; lungs - Gross
Remember that SLE is a systemic disease. Multiple organ systems are
affected. Although serositis is a fairly common occurrence in SLE,
interstitial changes can also be present. The pleura, instead of
being thin and transparent, is opaque, forming a whitish sheath over
the lung surface. What is responsible for the opacity of the
pleura?
Answer
Note the rigid appearance of the cut surface of the lung. This is due
to the interstitial fibrosis. What would you expect the duration of
this process to have been?
Answer
What other serosal surfaces would be of clinical importance in
SLE?
Answer
With what clinical symptoms might a patient with serositis
present?
Answer