Ajmani Sajal, Misra Durga Prasanna, Lawrence Able
Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Mediterr J Rheumatol. 2018 Mar 19;29(1):43-45. doi: 10.31138/mjr.29.1.43. eCollection 2018 Mar.
We present a case of a 12-year-old girl who presented with migratory arthritis, chorea and ascites. She was diagnosed to have systemic lupus erythematosus (SLE) and subsequently responded to immunosuppressive therapy. She had been misdiagnosed earlier as having rheumatic fever. Our case highlights the fact that SLE should be considered in the differential diagnosis of a patient with migratory arthritis & chorea. Generally, chorea in SLE is immune-mediated rather than due to ischemia and has good prognosis.
我们报告一例12岁女孩，她表现为游走性关节炎、舞蹈症和腹水。她被诊断为系统性红斑狼疮（SLE），随后对免疫抑制治疗有反应。她早些时候被误诊为风湿热。我们的病例强调了在游走性关节炎和舞蹈症患者的鉴别诊断中应考虑SLE这一事实。一般来说，SLE中的舞蹈症是免疫介导的，而非缺血所致，且预后良好。
