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Published 17 March 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.11.2008.1194]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual association of diseases/symptoms

A unique case of systemic lupus erythematosus

Muhammad Khizar Rafiq

Department of Neurosurgery, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK

Correspondence to:
M K Rafiq, drmkrafiq{at}hotmail.com

SUMMARY

An 18-year-old Asian girl was referred to the nephrology unit with rapidly progressive renal failure. At the age of 15 she was diagnosed as having systemic lupus erythematosus but had defaulted treatment. Her renal functions improved with cyclophosphamide pulse treatment but she continued to have central nervous system vasculitis, gastrointestinal vasculitis and opportunistic infections making her a unique and challenging case of systemic lupus erythematosus.


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