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Disseminated tuberculosis masquerading as a presentation of systemic lupus erythematosus
Author(s) -
Li Justin C.H.,
Fong Warren,
Wijaya Limin,
Leung Ying Y.
Publication year - 2018
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.13195
Subject(s) - medicine , miliary tuberculosis , serositis , cytopenia , tuberculosis , dermatology , immunology , autoantibody , pathology , arthritis , antibody , bone marrow
Tuberculosis (TB) infection is the endemic in Asia‐Pacific region. Miliary TB is a disseminated form which may present similarly as autoimmune conditions. Here we describe a 17‐year‐old girl who had miliary TB with manifestations mimicking new‐onset systemic lupus erythematosus (SLE) including oral ulcers, serositis, cytopenia, proteinuria and raised autoantibody titers. Complex associations between SLE and TB are highlighted. High index of clinical suspicion for TB infection is needed upon presentations resembling immune diseases like SLE.