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Volume 350:520-521 January 29, 2004 Number 5
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Case 5-2003: A 16-Year-Old Girl with a Rash and Chest Pain

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by Caro, I.
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To the Editor: A patient such as the one described in Case 5-2003 (Feb. 13, 2003, issue),1 who has a rash and a positive test for antinuclear antibodies (in a homogeneous pattern), is usually considered to have systemic lupus erythematosus unless another diagnosis is confirmed. It is reported that the patient's level of total hemolytic complement was normal but that her levels of C3 and C4 were low. These laboratory findings are incompatible, since typically, if the levels of C3, C4, or both are low, the level of total hemolytic complement is also low. Most skin lesions in lupus are . . . [Full Text of this Article]



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