Chorea as the First and Only Manifestation of Systemic Lupus Erythematosus

We report a case of right-sided hemichorea associated with systemic lupus erythematosus (SLE) in a female patient who presented with involuntary movements of hand and foot, without any other manifestation of SLE. Further workup showed positive tests for antinuclear antibody, anti-Smith antibody, ant...

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Bibliographic Details
Main Authors: Abdul Razzakh Poil, Fahmi Yousef Khan, Abdo Lutf, Mohammed Hammoudeh
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2012/907402
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Summary:We report a case of right-sided hemichorea associated with systemic lupus erythematosus (SLE) in a female patient who presented with involuntary movements of hand and foot, without any other manifestation of SLE. Further workup showed positive tests for antinuclear antibody, anti-Smith antibody, anti-dsDNA, and antiphospholipid antibody (aPL). The patient was started on aspirin and hydroxychloroquine and her chorea resolved after three weeks of followup. This is one of the few reported cases of SLE where chorea is presented as the first and only manifestation of SLE.
ISSN:2090-6889
2090-6897