FEBRILE CONVULSIONS REVEALING SYSTEMIC LUPUS ERYTHEMATOSUS IN CHILDREN OBSERVED AT THE CHU ANDRAINJATO FIANARANTSOA
Ramamonjinirinirina Tahina Prudence*, Rabemananjara Antsa, Rakotomahefa Mbola and Rabesandratana Noro
ABSTRACT
Introduction: Pediatric systemic lupus erythematosus is a rare condition. Our aim was to report a case of systemic lupus erythematosus revealed by seizures in a 9-year-old girl. Observation: We report a case of 9-year-old girl hospitalised in the paediatric service of University Teaching Hospital of Andrainjato Fianarantsoa for generalised tonic-clonic seizures. The diagnosis of SLE was based on a butterfly-shaped malar rash, oral ulceration, seizures, anaemia, and positive anti-native DNA and antinuclear antibodies. Corticosteroid therapy combined with a synthetic antimalarial drug led to an improvement in the cutaneous signs and a progressive regression of the articular signs. Conclusion: Seizure may be the mode of manifestation of SLE in children. The presence of skin and joint signs can easily guide the diagnosis.
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