A case report: Extremely severe pulmonary artery hypertension as an initial presentation of systemic lupus erythematosus in pregnancy

A 33-year-old G2 P1001 female at 13 weeks of gestation presented with dyspnea, tachycardia, and hypotension. Initial assessment revealed cardiogenic shock and acute respiratory failure caused by extremely severe pulmonary artery hypertension (PAH).