Case 6

The Curious Case Of Multi-autoimmune Ailments Gathering Together

A male patient, 25 year-old married and has two daughters, was quite well till seven months ago when he developed dyspnea on exertion, fever and arthralgia.

He sought medical advice that revealed bilateral pleural effusion, then he was admitted in the chest department where both bilateral pleural aspirates and biopsy studies revealed nothing "non-specific pleurisy".

Now he presented feverish with facial flushing, oro-genital ulcers, polyarthritis, lymphadenopathy, bilateral pleural and pericardial effusion and ascites.

Regarding his lab results:

                                            - ↑ ESR, ↑ CRP

                                            - the ANA and anti-dsDNA (positive with high levels)

                                            - proteinuria.

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	The placeholder of a photo showing the genital ulcers of the same patient