title: ANA Negative Systemic Lupus Erythematosus Leading to CTEPH, TTP-Like Thrombocytopenia, and Skin Ulcers.
abstract: SLE affects almost every organ system, with differing degrees of severity. During its clinical course periods of flares may alternate with periods of remission culminating in disease and therapy related damage. We describe a case of ANA negative SLE with severe thrombocytopenia, cutaneous vasculitis, antiphospholipid antibody syndrome, and pulmonary artery hypertension. As there is no definitive cure for SLE the treatment lies in caring for the individual organ systems involved and simultaneously taking care of the patient as a whole.
authors.affiliation: Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India.
authors.forename: Khalid Hamid
authors.identifier: 0000-0003-0790-8233
authors.initials: KH
authors.lastname: Changal
authors.affiliation: Rheumatology and Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India.
authors.forename: Fayaz
authors.initials: F
authors.lastname: Sofi
authors.affiliation: Internal Medicine, Mercy Catholic Medical Center, Philadelphia, PA 19026, USA.
authors.forename: Sheikh Shoaib
authors.initials: SS
authors.lastname: Altaf
authors.affiliation: Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India.
authors.forename: Adnan
authors.initials: A
authors.lastname: Raina
authors.affiliation: Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India.
authors.forename: Ab Hameed
authors.initials: AH
authors.lastname: Raina