title: Unusual Presentations of Childhood Systemic Lupus Erythematosus to the Emergency Department.
abstract: BACKGROUND
  Systemic lupus erythematosus (SLE) is a multisystemic autoinflammatory disease that can involve any organ system; therefore, diagnosis can be challenging. Hereby, we present 4 cases that presented to pediatric emergency department with unusual clinical pictures of SLE.
  
  
  METHODS
  Case 1 presented with inability to walk or talk for the last 1 week as well as intermittent pain and swelling in her joints. Case 2 presented with generalized edema and severe dyspnea. Case 3 and 4 presented to pediatric emergency department with rashes on the legs.
  
  
  CONCLUSIONS
  Systemic lupus erythematosus may mimic many clinical entities, and differential diagnosis may be difficult, especially if presentation is atypical. In every emergency physician, right diagnosis and prompt treatment are very important especially in life-threatening conditions such as cardiac involvement in SLE.
authors.affiliation: From the Department of Pediatrics, Division of Pediatric Emergency, Hacettepe University Faculty of Medicine, İhsan Dogramaci Children's Hospital, Sihhiye/Ankara, Turkey.
authors.forename: Ayşe
authors.initials: A
authors.lastname: Gültekingil Keser
authors.forename: İlker
authors.initials: İ
authors.lastname: Ertuğrul
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Tekşam
authors.forename: Bahadir
authors.initials: B
authors.lastname: Konuşkan
authors.forename: Süheyla
authors.initials: S
authors.lastname: Özkutlu
authors.forename: Seza
authors.initials: S
authors.lastname: Özen
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D020820:Dyskinesias / Q000209:etiology; D004487:Edema / Q000209:etiology; D004636:Emergency Service, Hospital; D005076:Exanthema / Q000209:etiology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis*
chemical_list: D005938:Glucocorticoids