A rare presentation of SLE in a male: A case report

Rajesh Natuva; V E Rama Naidu Mopada; B Lakshmi Prasad; V Sukaveni; G Swarna Latha

Volume : IV, Issue : VI, June - 2015

A rare presentation of SLE in a male: A case report

Rajesh Natuva, V E Rama Naidu Mopada, B Lakshmi Prasad, V Sukaveni, G Swarna Latha

Abstract :

SLE is a multisystem autoimmune disease most commonly seen in females of reproductive age group. Here we present a case report of 41yr old male patient who presented with fever since 3 months, multiple hyperpigmented lesions initially started as maculopapular lesions, later progressed to ulcerative lesions all over the body including face of 2 months duration, oedema of both lower limbs of 1 month duration, and altered sensorium of 2 days duration. Patient was diagnosed with cutaneous tuberculosis at a private hospital 1 month ago and was started on ATT but found no improvement. Patient was diagnosed with schizophrenia and hypothyroidism 5 years back and was on treatment. On examination, oral ulcers are present. After stabilization of patient , with high index of suspicion , we ordered for a collagen profile which revealed strong positive for ANA and Anti– dsDNA– suggesting SLE. Patient was treated with i.v.methyl prednisolone and pulse cyclophosphamide therapy. Patient condition improved, skin leisons healed and was discharged on oral steroids and azathioprine and is on follow up. CONCLUSION:High index of suspicion is needed for diagnosis and treatment of SLE in males to prevent disease progression, morbidity and mortality. So, we report a case of SLE in male presenting as Vasculitis which is a rare phenomenon and also to highlight the rare manifestations of SLE in males like psychosis and hypothyroidism.