A possible case of systemic lupus erythematosus presenting with generalised oedema

Kawther T. El-Shafe, Ali Al-Shirawi, Buthaina Al-Maskari, Nafsa Samir

Research output: Contribution to journalArticle

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease of unknown aetiology afecting various systems within the body. We report the case of a patient with generalised subcutaneous oedema as the only presenting feature, which led to the possible diagnosis of SLE without a specifc cause. Te patient presented to the Sultan Qaboos University Hospital in Muscat, Oman, in April 2013. Te oedema had been present for two years before admission. Other potential causes of oedema in patients with SLE were excluded, including SLE of renal origin and SLE due to protein-losing enteropathy or drugs. Tis was confrmed by the patient’s normal serum albumin level and negative proteinuria. Laboratory investigations showed high levels of positive antinuclear antibodies (>1:640), positive anti-double-stranded deoxyribonucleic acid results, high levels of anti-β2-glycoprotein 1 and immunoglobulin M and low levels of both complement components 3 and 4. Te oedema improved immediately in response to steroids and immunosuppressive medications. Physicians should be aware that generalised subcutaneous oedema can be the only manifestation of SLE.

Original languageEnglish
Pages (from-to)e582-e584
JournalSultan Qaboos University Medical Journal
Volume14
Issue number4
Publication statusPublished - Nov 1 2014

Fingerprint

Systemic Lupus Erythematosus
Edema
Protein-Losing Enteropathies
Oman
Complement C4
Complement C3
Antinuclear Antibodies
Immunosuppressive Agents
Proteinuria
Serum Albumin
Autoimmune Diseases
Immunoglobulin M
Glycoproteins
Steroids
Physicians
Kidney
DNA
Pharmaceutical Preparations

Keywords

  • Case report
  • Edema
  • Oman
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A possible case of systemic lupus erythematosus presenting with generalised oedema. / El-Shafe, Kawther T.; Al-Shirawi, Ali; Al-Maskari, Buthaina; Samir, Nafsa.

In: Sultan Qaboos University Medical Journal, Vol. 14, No. 4, 01.11.2014, p. e582-e584.

Research output: Contribution to journalArticle

El-Shafe, Kawther T. ; Al-Shirawi, Ali ; Al-Maskari, Buthaina ; Samir, Nafsa. / A possible case of systemic lupus erythematosus presenting with generalised oedema. In: Sultan Qaboos University Medical Journal. 2014 ; Vol. 14, No. 4. pp. e582-e584.
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