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Lupus
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Grand Rounds from International Lupus Centres

A swollen leg unmasks longstanding SLE

S E Lane

Department of Rheumatology, Norfolk and Norwich Health Care NHS Trust, Brunswick Rd., Norwich NR1 3SR, UK. Tel: (+44) 1603 289806; Fax: (+44) 1603 287004; LANE{at}suzanne-e.fsnet.co.uk

K Gaffney

Department of Rheumatology, Norfolk and Norwich Health Care NHS Trust, Norwich, UK

R Y Ball

Departments of Histopathology and Cytopathology, Norfolk and Norwich Health Care NHS Trust, Norwich, UK

T J Marshall

Department of Radiology, Norfolk and Norwich Health Care NHS Trust, Norwich, UK

We report a case of long-standing SLE which presented with symptomatic muscle vasculitis on a background of photosensitivity, arthralgia and myalgia. The diagnosis was complicated by cardiomyopathy, nephrotic syndrome and diabetes. We highlight the benefits of aggressive treatment in severe disease and the importance of recognising and treating comorbidity especially in relation to atherosclerosis.

Key Words: systemic lupus erythematosus • vasculitis • cardiomyopathy • cyclophosphamide

Lupus, Vol. 10, No. 1, 4-8 (2001)
DOI: 10.1191/096120301673679848
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