Bruich Landon, Williford Dustin, Filipek Jacob
Pediatrics/Hospital Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Cureus. 2025 Apr 30;17(4):e83248. doi: 10.7759/cureus.83248. eCollection 2025 Apr.
Systemic lupus erythematosus (SLE) is an autoimmune disease that presents with a wide range of symptoms due to its ability to affect multiple organ systems. We present a case report of a 17-year-old female with a chief complaint of a four-month history of weight loss and generalized weakness, along with a two-month history of intermittent hematochezia. Features of the patient's initial presentation made the treatment team suspicious of anorexia nervosa. However, further workup led the team to a diagnosis of SLE. This case exemplifies a rare presentation of lupus that initially mimicked an eating disorder and did not develop classic lupus findings until months after the disease process began.
系统性红斑狼疮（SLE）是一种自身免疫性疾病，由于它能够影响多个器官系统，故而会出现各种各样的症状。我们报告一例17岁女性病例，其主要诉求为有四个月体重减轻和全身无力的病史，以及两个月间歇性便血的病史。患者最初表现的特征使治疗团队怀疑为神经性厌食症。然而，进一步检查使团队确诊为SLE。该病例体现了狼疮一种罕见的表现形式，最初类似于进食障碍，直到疾病进程开始数月后才出现典型的狼疮表现。
