Abstract
Keywords leprosy.anthiphospholipidantibodyCase PresentationA 29-year-old Brazilian woman was referred for manage-ment of systemic lupus erythematosus (SLE) withantiphospholipid antibodies (aPL). Her symptoms were1 year of intermittent fever and diffuse, tender, erythe-matosus, and nodular rash that began during her firstpregnancy. She was treated with short course of low-dose corticosteroids, with resolution; however, she suf-fered an embryonic loss at 7 weeks. Six months prior toadmission, she had recurrence of the nodular rash withnew onset arthralgia; a skin biopsy showed panniculitis.Tests done at that time showed lupus anticoagulant(LA), anticardiolipin antibody (aCL) IgM >150 U (nor-mal 0–7 U), anti-β
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