IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-12-10-52779 Original Research Paper Hypothyroidism As Initial Clinical Manifestation In Systemic Lupus Erythematosus- A Case Report Sachinkumar Patankar Dr. Dr. Dhanashree Jambhekar Dr. October 2023 12 10 01 02