A case of late Onset Systemic Lupus Erythematosus with severe myalgia | ||||
| The Egyptian Journal of Geriatrics and Gerontology | ||||
| Article 6, Volume 4, Issue 1, March 2017, Page 24-26 PDF (531.93 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejgg.2017.5350 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Mahmoud HF | ||||
| Geriatrics& Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||||
| Abstract | ||||
| Late onset systemic lupus erythematosus (SLE) after 50 -year -old is rare. We repor t a case of A 60 year-old woman referred to our hospi tal because of sever e myalgia and mi ld arthralgia together wi th pancytopenia wi thout other typical symptoms of systemic lupus erythematosus (SLE) . Posi tive di rect Coomb’s test revealed that anemia had autoimmune hemolytic nature and suppression of reticulocyte production was considered a clue of a process of bone marrow suppression which have been involv ed in the etiology of pancytopenia. Posi tivi ty for Anti - dsDNA antibodies led us to the diagnosis of late-onset SLE and there was marked improvement after prednisone administ ration. As late-onset SLE is rare and patients tend to show the typical symptoms le ss f requently, close attention should be focused on latent symptoms and immunological findings. | ||||
| Keywords | ||||
| late-onset SLE; myalgia; pancytopenia; autoimmune disorders in elderly | ||||
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