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. 2009:2009:bcr11.2008.1194.
doi: 10.1136/bcr.11.2008.1194. Epub 2009 Mar 17.

A unique case of systemic lupus erythematosus

Muhammad Khizar Rafiq  1
Affiliations

A unique case of systemic lupus erythematosus

Muhammad Khizar Rafiq. BMJ Case Rep. 2009.

Abstract

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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Figures

Figure 1
Figure 1
Transmural neutrophilic infiltration of a medium-sized artery.
Figure 2
Figure 2
Glomerulus is spared.
See this image and copyright information in PMC

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