29 YEAR OLD FEMALE WITH SLE
CASE DETAILS : 29 YEAR OLD FEMALE CAME TO OPD WITH COMPLAINTS OF POLYARTHRITIS , SWELLING WITH EARLY MORNING STIFFNESS IN JOINTS, HAIR FALL, ORAL ULCERS SINCE 3 MONTHS HOPI : PATIENT WAS APPARENTLY ASYMPTOMATIC BEFORE 15 NOVEMBER 2021. ON 15 NOVEMBER 2021 PATIENT STARTED DEVELOPING FEVER , SWELLING AT SYNOVIUM OF ANKLE JOINT WHICH LATER LEAD TO PEDAL EDEMA AND ASSOCIATED WITH REDUCED PLATELET COUNT FOR WHICH SHE WAS TAKEN TO A NEARBY HOSPITAL WHERE SHE RECEIVED THE TREATMENT AND LATER DURING THE HOSPITAL STAY SHE DEVELOPED PAIN IN ALL JOINTS ASSOCIATED WITH SWELLING AND EARLY MORNING STIFFNESS SINCE THEN. ALSO DEVELOPED PIGMENTATION OVER FACE , SCALP, BOTH EARS , NECK, BOTH HANDS AND LEGS, ARMS AND FOREARMS FOLLOWING WHICH SHE DEVELOPED ORAL ULCERS, THROAT PAIN WHICH IS ON AND OFF , THINNING OF HAIR AND HAIRFALL SINCE 1 MONTH NO HISTORY OF PHOTOSENSITIVITY, RAYNAUDS PHENOMENON PAST HISTORY : H/O 1 EPISODE OF SEIZURES 3 YEARS BACK AFTER SUDDEN DEMISE OF PATIENT'S SISTER. 1 Y