We have presented a patient with severe clinical SLE but negative serological tests. This diagnostic difficulty, together with a presentation limited to the skin and an initial response to high dose steroids probably lead to a delay in starting immunosuppression. The finding of a retinopathy was important in deciding on therapy. An excellent response to immunosuppression was seen, with full recovery.
|Number of pages||4|
|Journal||British Journal of Rheumatology|
|Publication status||Published - 1 Jan 1992|