An Unusual Case of Late-onset Systemic Lupus Erythematosus Presenting with Digital Gangrene

Authors

  • Juan Raphael M. Gonzales Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Kristine Niña Y. Limquiaco Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Sandra Susana F. Sanidad Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Bernadette Heizel M. Reyes Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.vi0.4249

Keywords:

Late-onset, digital ischemia, lupus

Abstract

Digital gangrene is an uncommon initial manifestation of systemic lupus erythematosus (SLE) and rarely in late-onset disease. This case presents a 50-year-old woman who developed digital gangrene and was subsequently diagnosed with SLE. Early treatment with immunosuppression and anticoagulation halted the progression of the digital ischemia. This case highlights that late-onset SLE, often described as having a more benign and insidious course, can also present with catastrophic limb-threatening manifestations.

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Published

2023-01-31

Issue

Vol. 57 No. 1 (2023)

Section

Articles

How to Cite

1.
An Unusual Case of Late-onset Systemic Lupus Erythematosus Presenting with Digital Gangrene. Acta Med Philipp [Internet]. 2023 Jan. 31 [cited 2025 Apr. 4];57(1). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/4249