Case 1: 25-year-old African American woman
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Case 1: 25-year-old African American woman
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- A 25-year-old African American woman presented to the clinic 2 weeks ago with shortness of breath, chest pain, and lower extremity edema
- On examination, she had evidence of alopecia, mild bilateral knee arthralgia and swelling, and malar rash
- In the ED, her blood pressure was 150/90 mmHg
- Blood work significant for: Positive for anti-ANA, anti-dsDNA, anti-Smith, C3 and C4 below normal range
- Urinalysis significant for elevated protein and RBCs with casts
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