A. FARHADI A, HAGHSHENAS M. PSEUDO TUMOR CEREBRI AS THE MAJOR MANIFESTATION OF SYSTEMIC LUPUS ER Y THEMATOSUS IN A CASE OF FEVER OF UNDE TERMINED ORIGIN. Med J Islam Repub Iran 1997; 11 (3) :259-261
URL:
http://mjiri.iums.ac.ir/article-1-1104-en.html
From the Department of Medicine, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Abstract: (4366 Views)
Systemic lupus erythematosus (SLE) is less likely to present as fever of
undetermined origin today. This is due to the widespread use of immunologic tests
which permit early diagnosis. It is not surprising therefore that only atypical cases
of SLE present as FUa. Although uncommon, pseudotumor cerebri has been
recognized as either a presenting manifestation or a complication of SLE. This
case was a 15 year old girl who presented with pseudotumor cerebri and prolonged
fever as the major manifestations of SLE. Absence of musculoskeletal symptoms
and a low sedimentation rate were the major misleading points that deferred the
diagnosis. This case report not only describes a rare manifestation of SLE but also
emphasizes the previously known fact that "FUO is an uncommon presentation of
this common disease."