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Case 2: 48-year-old woman

Case 2: 48-year-old woman

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  • A 48-year-old woman with an 18-year history of SLE is presenting for a regular appointment
    • Mother of 2 teenage children, works full time as a dental assistant
    • Functional history: patient describes worsening of her lupus symptoms 
      • Pain in fingers, especially in the winter, causing some functional disability
      • Hip pain causing difficulty walking
  • Treatment history
    • Heavy steroid use before switching to methotrexate and belimumab 12 years ago
    • 18-year history of hydroxychloroquine with no ocular adverse events
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