Abstract
Leimomi was a 16-year-old female of Asian Pacific Island descent born and raised on Oahu who was referred to the Department of Health's Child and Adolescent Mental Health Division (CAMHD) by her public school student services coordinator for running away, chronic truancy, aggressiveness, and drug abuse. She had been diagnosed with systemic lupus erythematosus about 1 year before this referral and treated with prednisone 25 mg/day, Plaquenil 400 mg at bedtime, Plendil 2.5 mg twice daily, and Elavil 40 mg at bedtime for sleep. There was no relationship between her behavior, affective state, lupus, or her lupus treatment.
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