Abdominal Pain in a Young Woman With Systemic Lupus Erythematosus

In January 2020 a 17-year-old- female was referred to the Rheumatology section for arthralgia, hair loss and Raynaud´s phenomenon. Physical examination revealed malar rash, oral ulcers and palmar erythema. The rest of the physical examination was unremarkable. Laboratory testing results showed leukopenia with normal renal and liver function tests. The erythrocyte sedimentation rate was elevated at 90 mm/h with positive anti-nuclear antibodies (ANA) 1/1280 speckled pattern, anti-SM, anti- Ro SS/A 52 kD, anti-Ro/SSA 60 kD and anti-ds DNA antibodies. Urinalysis was normal. A diagnosis of systemic lupus erythematosus (SLE) was made and treatment was started with hidroxichloroquine 200 mg tw and prednisone 15 mg/day.