Title: A Case of Male SLE with unusual presentation
Authors: Dr Balasundaram Padmakumar, Dr Baraneedaran S, Dr Meenu M Tergestina, Dr Vrinda Vijayan
Systemic lupus erythematosus (SLE) is a complex autoimmune disease with significant heterogeneity and periods of relapse and remissions. It is more prevalent in women particularly in their reproductive years. The prevalence of SLE was found to be 3.2 per 100,000 population in a study conducted near Delhi in India1.The etiology of SLE remains unknown and is clearly multifactorial. The diagnosis is based on characteristic clinical features and presence of autoantibodies. Of all the characteristic clinical features of lupus, it is the extreme sex skewing that remains least understood. Francis Fatoye et al2 did a population based study in Alberta Canada, which estimated the prevalence to be 27.3 cases and 3.2 cases per10,000 for females and males, respectively.
Female predominates the disease with 9:1 ratioin a study done by weckerle C et al3 in 2011. The female to male ratio as studied by pande et al4 in 1993 in India is also 9:1.We present a case of male SLE which is a rare clinical presentation admitted in our tertiary care center with short febrile illness.