%0 Journal Article %T Sildenafil no tratamento da hipertens£¿o pulmonar associada a l¨²pus eritematoso sist¨ºmico e s¨ªndrome antifosfolip¨ªdio %A Souza %A Eduardo Jos¨¦ do Ros¨¢rio e %A Garib %A Junia Rios %A Garib %A Nasim Michel %A P¨¢dua %A Paulo Madureira de %J Jornal de Pneumologia %D 2003 %I Scientific Electronic Library Online %R 10.1590/S0102-35862003000500009 %X severe pulmonary hypertension is a debilitating disease with short life expectancy that often affects young people. pleuropulmonary complications of systemic lupus erythematosus occur in 50-70% of patients. severe symptomatic pulmonary hypertension in systemic lupus erythematosus is rare and carries a bad prognosis because a fatal outcome can occur within months. the authors describe, for the first time, a patient with systemic lupus erythematosus with severe pulmonary hypertension and secondary antiphospholipid syndrome who responded favorably to oral sildenafil, after unsuccessful use of prednisone, intravenous cyclophosphamide, warfarin and diltiazem. %K vasodilator agents [therapeutic use] %K lupus erythematosuos systemic %K antiphospholipid antibodies %K phosphodiesterase inhibitors. %U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-35862003000500009&lng=en&nrm=iso&tlng=en