Assam Journal of Internal Medicine (Jan 2022)

Fever: A Diagnostic Dilemma

  • Prasanta Dihingia,
  • Sagar Kanta,
  • Anshu Kumar Jha

DOI
https://doi.org/10.4103/ajoim.ajoim_16_21
Journal volume & issue
Vol. 12, no. 1
pp. 37 – 39

Abstract

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Fever is one of the most common presentations of Systemic Lupus Erythematosus (SLE) (95%) but it is also associated with other manifestations. A 32-year-old female patient who presented with chief complaints of fever and burning micturition and during the course of the stay developed different manifestations like facial rash, leukopenia, proteinuria, and SLE was diagnosed on the antinuclear antibody (ANA) profiling of the patient and the clinical criteria. Here we present a case where the patient presented mainly with urinary tract infection which in turn acted as a trigger for immune reaction leading to the full-blown SLE.

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