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Clinical Pediatrics
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Chorea as an Initial Manifestation of Systemic Lupus Erythematosus

A Case Report of a 10-year-old Girl

Osamu Arisaka

Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

Kaoru Obinata

Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

Hidekuni Sasaki

Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

Madoka Arisaka

Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

Kenichiro Kaneko

Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

Neurological complications of systemic lupus erythematosus (SLE) are relatively common, but isolated chorea as the initial manifestation of SLE is very rare. We report a 10-year-old girl presenting with chorea, who developed clinical and lab oratory findings of SLE 10 months after the onset of chorea. In this case, mild depression of complement levels in serum, which had already been found in the early stage of the chorea, was the only abnormal laboratory datum. The low serum complement levels that precede the appearance of other clinical and laboratory findings may be helpful for the diagnosis of isolated chorea involvement in SLE.

Clinical Pediatrics, Vol. 23, No. 5, 298-300 (1984)
DOI: 10.1177/000992288402300514


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