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Case Reports in Rheumatology
Volume 2012 (2012), Article ID 907402, 3 pages
http://dx.doi.org/10.1155/2012/907402
Case Report

Chorea as the First and Only Manifestation of Systemic Lupus Erythematosus

1Rheumatology Division, Department of Medicine, Hamad General Hospital, Doha, Qatar
2Department of Medicine, Hamad General Hospital, Doha, Qatar

Received 19 June 2012; Accepted 23 August 2012

Academic Editors: G. S. Alarcon, A. Chalmers, C. Orellana, and G. J. Tsay

Copyright © 2012 Abdul Razzakh Poil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of right-sided hemichorea associated with systemic lupus erythematosus (SLE) in a female patient who presented with involuntary movements of hand and foot, without any other manifestation of SLE. Further workup showed positive tests for antinuclear antibody, anti-Smith antibody, anti-dsDNA, and antiphospholipid antibody (aPL). The patient was started on aspirin and hydroxychloroquine and her chorea resolved after three weeks of followup. This is one of the few reported cases of SLE where chorea is presented as the first and only manifestation of SLE.