Total amount: € 0,00
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1812
Nocente R. 1, Gentiloni Silveri N. 2, Ceccanti M. 3, Bertazzoni G. 1, Magarò M. 2, Vastola M. 2, Gasbarrini G. 2
1 Emergency Department, University of Rome “La Sapienza”, Rome;
2 Institute of Internal Medicine, Catholic University, Rome;
3 Institute of VI Medical Clinic, University of Rome “La Sapienza”, Rome
We report a case of a 47-year-old man presenting with fever of unknown origin (FUO) and a high ESR. Laboratory tests showed CD4 lymphocytopenia and polyclonal hypergammaglobulinemia. The patient was HIV negative. He was anergic to skin tests: Merieaux test score was 0 (n.r. >10). Only 7 months after the onset of pyrexia, the positivity of 5/11 diagnostic American Rheumatism Association (ARA) criteria for systemic lupus erythematosus (SLE) became evident and SLE was diagnosed. It is therefore possible that, while not included among SLE ARA criteria, fever may be the only presenting sign of SLE for several months.