Case 2-1991

Richard C. Cabot, Robert E. Scully, Eugene J. Mark, William F. Mcneely, Betty U. Mcneely, Daryl R. Gress, John H. Eichhorn

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Presentation of Case A 60-year-old woman was admitted to the hospital after two seizures. The patient was well until 1 1/2 years earlier, when arthralgia developed and she consulted a rheumatologist. The erythrocyte sedimentation rate was 74 mm per hour; a test for antinuclear antibodies was positive in a titer of 1:128, with a homogeneous pattern; a test for antinative DNA antibodies was negative. A presumptive diagnosis of systemic lupus erythematosus was made, and hydroxychloroquine and ibuprofen were prescribed, with partial relief of her symptoms. An ophthalmologist later found evidence of early pigmentary maculopathy, and hydroxychloroquine was discontinued. A repeated.

Original languageEnglish (US)
Pages (from-to)113-120
Number of pages8
JournalNew England Journal of Medicine
Issue number2
StatePublished - Jan 10 1991

ASJC Scopus subject areas

  • Medicine(all)

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