AI Article Synopsis

  • Systemic lupus erythematosus (SLE) is a serious autoimmune disease capable of impacting multiple organs, with potentially fatal complications like lupus cerebritis and lupus nephritis.
  • A case of a 23-year-old female showed extreme symptoms including high-grade fever, seizures, and lymphadenopathy, leading to diagnoses linked with severe SLE manifestations.
  • Although she received treatment that provided some symptom relief, she ultimately did not survive, highlighting the significance of recognizing unusual symptoms like generalized lymphadenopathy in diagnosing SLE.

Article Abstract

Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disease that can affect almost every organ in the body. Its complications can often be fatal. The fatal complications include lupus cerebritis, lupus nephritis, and cardiac manifestations such as pericardial effusion. In this report, we discuss the case of a 23-year-old female who presented with complaints of high-grade fever, seizures, and altered mental state (AMS) and was found to have generalized lymphadenopathy (LAP). Various blood and urine analyses and radiological findings (chest X-ray, MRI of the head) were suggestive of lupus nephritis, lupus cerebritis, massive pericardial effusion, and thrombocytopenia. Her anti-double stranded DNA (anti-dsDNA) antibody was positive, and her pericardial fluid was positive for anti-nuclear antibodies (ANAs). She was administered IV glucocorticoids and phenytoin. She reported improvements in her symptoms gradually for a few days but eventually succumbed to the disease. Although generalized LAP is a rare initial presentation of SLE, it should be included in the differential diagnosis of the disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265184PMC
http://dx.doi.org/10.7759/cureus.15517DOI Listing

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