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Published on: September 28, 2022
SLE presenting as epistaxis
1Department of Pediatrics, Ministry of Health, Sultanate of Oman, Oman, Umon. mathewkallingal@yahoo.com
Indian Journal of Pediatrics
|May 11, 2010
Summary
Epistaxis, or nosebleeds, rarely signals systemic lupus erythematosus (SLE). A young girl
Area of Science:
- Pediatrics
- Rheumatology
- Hematology
Background:
- Systemic lupus erythematosus (SLE) is a rare autoimmune disease.
- Epistaxis is an uncommon presenting symptom of SLE.
Observation:
- An 11-year-old girl presented with severe, self-limiting epistaxis.
- She was anemic with a deranged coagulation profile and thrombocytopenia.
- Despite blood and platelet transfusions, epistaxis persisted.
Findings:
- Investigations revealed laboratory findings suggestive of SLE.
- Thrombocytopenia was a key hematological finding.
Implications:
- This case highlights the importance of considering SLE in pediatric patients with unexplained epistaxis and thrombocytopenia.
- Early diagnosis and management of SLE are crucial.
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