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15th July 2024
A 25-year-old woman presented with a facial rash and generalised arthralgia
A 25-year-old woman presented with a facial rash and generalised arthralgia. Her blood pressure was 120/76 mmHg. Urinalysis revealed blood ++ and protein ++. Investigations were as follows:
| serum creatinine | 92 µmol/L (60– 110) |
| 24-hour urinary protein | 0.8 g (<0.2) |
| anti-double-stranded DNA antibodies (ELISA) | 234 U/mL (<73) |
She was diagnosed with systemic lupus erythematosus and commenced on oral azathioprine and prednisolone. A renal biopsy was undertaken that showed class II lupus nephritis.
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