AI Article Synopsis
- A 30-year-old woman presented with an 8-month history of symptoms including fever, joint pain, oral ulcers, and weight loss, along with a recent dry cough and shortness of breath.
- Physical examination revealed malar rashes, hair loss, skin ulcers, and joint inflammation, prompting further investigation through imaging and lab tests.
- She was diagnosed with Lupus Vasculitis, confirmed by positive anti-nuclear and anti-Ro antibodies, and started on a treatment regimen including steroids and other immunosuppressive medications.
Article Abstract
We present the case of a 30-year-old woman who presented with 8-month history of intermittent fever, joint pains with morning stiffness, recurrent oral ulcers, photosensitivity, weight loss and hair fall. For the last 2 months, she had developed a dry cough with progressive shortening of breath. On examination, a cachexic lady with malar hyperpigmentation, alopecia, pallor, nail dystrophy and erythema over her hands and feet were noted. There were multiple punched-out skin ulcers of variable size over legs, arms and abdomen usually round in shape with well-defined even wound margins and scant serous discharge. Musculoskeletal examination revealed synovitis of both elbows and a few metacarpophalangeal and proximal interphalangeal joints. Chest X-ray and HRCT showed bilateral ground-glass opacification. Anti-Nuclear Antibody (ANA) was positive, 1:320, homogenous nuclear pattern. Anti-Ro antibody was highly positive and serum complement (C3, C4) levels were reduced. She was diagnosed with Lupus Vasculitis and started on steroids, mycophenolate mofetil and hydroxychloroquine.
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| http://dx.doi.org/10.55519/JAMC-03-11426 | DOI Listing |
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