Diagnostic Dilemma

PUO with hematuria

A 10 years old girl presented with fever for a month and microscopic hematuria. She had persistent headache. There was no organomegaly and systemic examination was normal. On investigations, hemogram, blood culture, chest x-ray, mantoux test, urine culture were normal. Her USG abdomen showed non-specific mesenteric nodes. HIV Elisa was negative.

What is the likely diagnosis?
Expert Opinion :
She was suspected to have an evolving autoimmune disorder in view of fever and hematuria. Her ANA was weakly positive, though dsDNA and C3 were normal. She was started on Naproxen.
Answer Discussion :
L karpagam
systemic lupus erythematous
6 years ago
Thada Chin
6 years ago

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