A case of very-late-onset systemic lupus erythematosus

Ken YamajiDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanCorrespondence[email protected]

Mitsunori YasudaDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Kwang Seok YangJuntendo Tokyo Koto Geriatric Medical Center,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Yoshinori KanaiDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Chiharu YamajiDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Toshiaki KawanishiDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Masayuki ToumyoDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Kazuhiko FunabikiJuntendo Tokyo Koto Geriatric Medical Center,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Hiroshi TsudaJuntendo Tokyo Koto Geriatric Medical Center,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

Yoshinari TakasakiDepartment of Internal Medicine and Rheumatology, Juntendo University School of Medicine,2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan

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Abstract

A 93-year-old woman was admitted to our hospital because of fever. Radiographic findings revealed accumulation of pleural fluid. Moreover, blood tests revealed inflammation, lymphopenia, hypocomplementemia, positive for anti-nuclear antibody, and elevated anti-DNA antibody level. Therefore, the patient was diagnosed with pleuritis associated with systemic lupus erythematosus (SLE). Administration of prednisolone 20 mg/day resulted in a marked improvement in fever, pleuritis, and laboratory findings. We report a case of very-late-onset SLE that occurred at the age of 93.

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A case of very-late-onset systemic lupus erythematosus

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A case of very-late-onset systemic lupus erythematosus

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