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Linfadenopatia e lúpus eritematoso sistêmico

2010; Elsevier BV; Volume: 50; Issue: 1 Linguagem: Inglês

10.1590/s0482-50042010000100010

1809-4570

Nilton Salles Rosa Neto, Karina Rossi Bonfiglioli, Fernanda Manente Milanez, Patricia Macedo, Maurício Levy‐Neto,

Chronic Lymphocytic Leukemia Research

Lymphadenopathy is a benign finding in systemic lupus erythematosus (SLE), commonly seen in young patients with cutaneous involvement and constitutional symptoms, with good response to corticosteroids. Reactive follicular hyperplasia is the most frequent finding in biopsies. We report the case of a patient with recurrent episodes of lymphadenopathy associated with hepatosplenomegaly, fever, and weight loss since the age of 13 years. The patient also developed arthritis, hypertension, proteinuria, cardiomyopathy, and peripheral neuropathy. His condition was investigated extensively without diagnostic clarification; he was treated, empirically, for tuberculosis. The patient received a diagnosis of SLE only five years after the original presentation and received the specific treatment. Early diagnosis in those cases is difficult because laboratory exams may not show the presence of auto-antibodies and low complement levels.