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Case Reports in Pediatrics
Volume 2013, Article ID 180208, 4 pages
Case Report

An Unusual Presentation of Lupus in a Pediatric Patient

Children’s Hospital of Illinois, OSF Medical Center, Division of Pediatric Nephrology, Department of Pediatrics, 530 NE Glen Oak Avenue, Peoria, IL 61637, USA

Received 13 May 2013; Accepted 17 July 2013

Academic Editors: A. Gedalia and M. Moschovi

Copyright © 2013 Vimal Master Sankar Raj. 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.


Systemic lupus erythematosus (SLE) is an autoimmune disease causing inflammatory tissue damage. Multiple organ damage can ensue with renal and neurological involvement carrying the worse prognosis. In this case report we present a 10-year-old African American girl who presented with abnormal choreiform movements, headache, weight loss, and fatigue. Detailed clinical examination with laboratory and imaging studies clinched the diagnosis of SLE. Echocardiogram revealed the presence of Libman-sacks endocarditis. Patient showed rapid resolution of symptoms with steroid therapy. A brief discussion on childhood onset lupus along with the varied clinical presentation is discussed.