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Year : 2013  |  Volume : 8  |  Issue : 3  |  Page : 134-136

What's your diagnosis? Herpes simplex infection mimicking recurrent acute flares in systemic lupus erythematosus: A case report with review of literature


Department of Rheumatology, King George's Medical University (KGMU), Lucknow, UP 226024, India

Correspondence Address:
Anupam Wakhlu
Department of Rheumatology, King George's Medical University (KGMU), Lucknow, UP 226024
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.injr.2013.06.002

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It is well known that there is an increased risk of infections in SLE patients on immuno- suppression. These infections may mimic lupus flares with similar manifestations such as fever, oral ulcers, leukopenia/pancytopenia, renal involvement, pneumonitis, lymphade- nopathy and others. The management of SLE in these two situations becomes contrasting. Viral infections are an important cause of morbidity and mortality in SLE patients but are often not suspected or investigated for. Herein, we present a case of SLE on immunosup- pression who had recurrent herpes simplex infection, mimicking flares of the disease. The case highlights that one should have a high index of suspicion along with appropriate laboratory back up to diagnose these infections.


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