title: A case of very-late-onset systemic lupus erythematosus.
abstract: A 93-year-old woman was admitted to our hospital because of fever. Radiographic findings revealed accumulation of pleural fluid. Moreover, blood tests revealed inflammation, lymphopenia, hypocomplementemia, positive for anti-nuclear antibody, and elevated anti-DNA antibody level. Therefore, the patient was diagnosed with pleuritis associated with systemic lupus erythematosus (SLE). Administration of prednisolone 20 mg/day resulted in a marked improvement in fever, pleuritis, and laboratory findings. We report a case of very-late-onset SLE that occurred at the age of 93.
authors.affiliation: Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan. k.yamaji@med.juntendo.ac.jp
authors.forename: Ken
authors.initials: K
authors.lastname: Yamaji
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Yasuda
authors.forename: Kwang Seok
authors.initials: KS
authors.lastname: Yang
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kanai
authors.forename: Chiharu
authors.initials: C
authors.lastname: Yamaji
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Kawanishi
authors.forename: Masayuki
authors.initials: M
authors.lastname: Toumyo
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Funabiki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsuda
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Takasaki
mesh_terms: D017668:Age of Onset; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology*; D010998:Pleurisy / Q000175:diagnosis / Q000209:etiology; D011239:Prednisolone / Q000494:pharmacology / Q000627:therapeutic use; D013902:Radiography, Thoracic / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D011239:Prednisolone