Systemic lupus erythematosus presenting as an intracranial bleed.
A previously healthy 12-year-old girl presented with fever and mental status changes without focal neurologic deficit. A CBC and computed tomography scan revealed thrombocytopenia and an intracranial bleed. Further laboratory studies were consistent with systemic lupus erythematosus. This case emphasizes the need to maintain a high index of suspicion for atypical presentations of an uncommon childhood illness.
Cunningham
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Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York.
Conway
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D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D013921:Thrombocytopenia / Q000150:complications