title: Systemic lupus erythematosus associated with sickle-cell disease: a case report and literature review.
abstract: BACKGROUND
  The occurrence of systemic lupus erythematosus has been only rarely reported in patients with sickle-cell disease.
  
  
  METHODS
  We describe the case of a 23-year-old North-African woman with sickle-cell disease and systemic lupus erythematosus, and discuss the pointers to the diagnosis of this combination of conditions and also present a review of literature. The diagnosis of systemic lupus erythematosus was delayed because our patient's symptoms were initially attributed to sickle-cell disease.
  
  
  CONCLUSIONS
  Physicians should be alerted to the possible association of sickle-cell disease and systemic lupus erythematosus so as not to delay correct diagnosis and initiation of appropriate treatment.
authors.affiliation: Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morocco. maamarmouna@yahoo.fr.
authors.forename: Mouna
authors.initials: M
authors.lastname: Maamar
authors.forename: Zoubida
authors.initials: Z
authors.lastname: Tazi-Mezalek
authors.forename: Hicham
authors.initials: H
authors.lastname: Harmouche
authors.forename: Wafaa
authors.initials: W
authors.lastname: Mounfaloti
authors.forename: Mohammed
authors.initials: M
authors.lastname: Adnaoui
authors.forename: Mohammed
authors.initials: M
authors.lastname: Aouni