Table 1.
Clinical, laboratory features and treatment of patients.
| Case 1 | Case 2 | Case 3 | Case 4 | |
|---|---|---|---|---|
| Age(years)/Sex | 30/F | 26/F | 40/F | 40/F |
| SLE duration(years) | 0 | 10 | 0 | 20 |
| Treatment at flare | None | 5mg PZ HCQ, MTX |
None | 5mg PZ HCQ |
| Extra-GI manifestations at flare | Fever, arthritis, pleuritis, pericarditis, cytopenias | Fever, arthritis, pleuritis, cytopenias | Fever, pleuritis | None |
| Abnormal blood tests | Hb 6.6g/dl WBC 2530/μl CRP 9.4mg/dl ESR 120mm/hr |
Hb 10g/dl WBC 3020/μl PLT 127000/μl ALT 439 U/l AST 824 U/l CRP 22 mg/dl ESR 56 mm/hr |
Hb 11.6g/dl | None |
| Serological activity | Yes | Yes | Yes | Yes |
| Treatment administeredv | 1mg/kg PZ HCQ |
3gr MP iv 0.6mg/kg PZ Belimumab |
3gr MP iv 0.8mg/kg PZ AZA, HCQ |
3gr MP iv 1mg/kg PZ CYC iv |
| Follow-up | No relapse | No relapse | No relapse | No relapse |
F: female; PZ: prednisone; HCQ: hydroxychloroquine; MTX: methotrexate; GI: gastrointestinal; iv: intravenous; MP: methylprednisolone; AZA: azathioprine; CYC: cyclophosphamide