Abstract
WHILE spontaneously occurring lupus erythematosus (LE) cells are only rarely detected in body fluids,1-5the finding of spontaneously formed LE cells in a CSF submitted for routine examination is a singularly rare event. Report of a Case A 65-year-old woman was admitted to Strong Memorial Hospital for evaluation of pain and swelling of multiple joints of one year's duration. One year earlier, at another hospital, she had had a lung abscess drained surgically. Two weeks postoperatively, fever and arthralgia developed, and she was found to have a positive antinuclear antibody and LE preparation. Complement was reported as decreased, but no anti-DNA was detectable. At that time, therapy with prednisone was begun. There was a 15-year history of hypothyroidism. On admission, she appeared ill, cushingoid, and in obvious pain with movement. Her proximal interphalangeal, metacarpal-phalangeal, and wrist joints were swollen and their synovia thickened. She had a macular-papular, nontender rash
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