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Unusual Prodrome of Systemic Lupus Erythematosus

Maj Pasquale F. Finelli, MC; Maj Charles C. Yockey, MC; Capt A. Joseph Hebert, Jr, MC

JAMA. 1976;235(11):1142-1143.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

NONINFECTIOUS meningeal involvement in systemic lupus erythematosus (SLE) occurs in approximately 8% of cases and is almost always associated with diffuse neurological deficits. The only well-documented case of aseptic meningitis without other neurologic or psychiatric symptoms was that of a patient with known SLE in whom the VDRL test, fluorescent treponemal antibody absorption test, antinuclear antibody test, and lupus erythematosus preparation were positive.¹ Aseptic meningitis as a prodromal manifestation of SLE in a seronegative patient has not been described, to our knowledge. We report such a case.

Report of a Case

A 61-year-old man was admitted to David Grant USAF Medical Center in July 1974 with a two-month history of headaches, generalized myalgia, fever, nausea, anorexia, and a weight loss of 6.8 kg (15 lb).

Physical examination results were entirely within normal limits. Laboratory tests showed a hematocrit reading of 35.8%, white blood cell (WBC) counts of 3,200 and . . . [Full Text PDF of this Article]

Author Affiliations
USAF; USAF; USAF

From the Neurology Service (Maj Finelli) and the Department of Medicine (Maj Yockey and Capt Hebert), David Grant USAF Medical Center, Travis Air Force Base, Calif.

Footnotes
Reprint requests to David Grant USAF Medical Center, Travis Air Force Base, CA 94535 (Maj Finelli).

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