Case of SLE

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29 year old female with joint pains came to casualty with

C/o - joint pains , nausea, fever on and off, swelling, pigmentation all over the face ,ear ,scalp ,neck

Age-29 yrs

Sex :- female

Occupation:-accountant

Residence:- nalgonda

HOPI:-

Patient was asymptomatic 5 months back (nov 15th).then she started developing fever which is on and off for which she consulted near by hospital and received treatment for fever. 

During that time , patient developed pain in all t her joints associated with swelling and early morning stiffness since then pigmentation over face, skin , scalp ,ears , neck ,both the hands and legs following which she developed oral ulcers, throat pain which are also on and off, thinning of hair , hair loss since one month.

She is an accountant.she is off to work at 7 and returns home at 5

She takes rice three times a day

Persistent above symptoms bought patient to the hospital 

No h/o altered consciousness 

PAST HISTORY:-

H/o hysterectomy in 2009

No hypertension 

      Diabetes 

      Cvs problems 

      Tuberculosis 

She had an 2 episodes of seizures in 2019 aug

Since her sister died.

PERSONAL HISTORY:-

Diet- mixed

No loss of Appetite 

Bowel and bladder movements - regular

ADDICTIONS:-

No particular addictions 

SOCIOECONOMIC HISTORY:-

Patient lives in nalgonda , ventilated house.

FAMILY HISTORY :-

No member of family has similar disease

DRUG HISTORY:-

No H/o allergic known drugs

GENERAL EXAMINATION:-

Patient is moderately fit and nourished 

Cooperative 

Conscious 

No c/o of giddiness

No bleeding manifestations

No c/o of loose stools 

No pallor 

No icterus

No cyanosis

No generalised lymphadenopathy 

VITALS:-

Temp:-Afebrile

RR :  18/min

PR:- -

BP:-100/80mmhg

SYSTEMIC EXAMINATION:-

RS:-BAE

CVS:-S1 S2

ABDOMEN:- tenderness present in left hypochodrium

CNS:-NAD

Patient is conscious .His speech is normal 

DIFFERENTIAL  DIAGNOSIS:-

Polyarthralgia

SLE 

Investigations:-

HEMOGRAM

ECG