Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease causing inflammatory tissue damage. Multiple organ damage can ensue with renal and neurological involvement carrying the worse prognosis. In this case report we present a 10-year-old African American girl who presented with abnormal choreiform movements, headache, weight loss, and fatigue. Detailed clinical examination with laboratory and imaging studies clinched the diagnosis of SLE. Echocardiogram revealed the presence of Libman-sacks endocarditis. Patient showed rapid resolution of symptoms with steroid therapy. A brief discussion on childhood onset lupus along with the varied clinical presentation is discussed.
Highlights
Children’s Hospital of Illinois, OSF Medical Center, Division of Pediatric Nephrology, Department of Pediatrics, 530 NE Glen Oak Avenue, Peoria, IL 61637, USA
Multiple organ damage can ensue with renal and neurological involvement carrying the worse prognosis. In this case report we present a 10-year-old African American girl who presented with abnormal choreiform movements, headache, weight loss, and fatigue
Echocardiogram revealed the presence of Libmansacks endocarditis
Summary
Systemic lupus erythematosus (SLE) is an autoimmune disease causing inflammatory tissue damage. With Biologic mom’s possible workup for autoimmune disease and the fact that chorea even though is a rare complication for SLE can be a presenting feature especially in pediatric SLE, a blood analysis for ANA was sent. Among these valvular disease is the most prevalent and a very common cause for morbidity in SLE patients.
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