A 26 year old pregnant woman presents with ahritis and a malar rash which worsens exposed to sunlight. She has a low-grade fever fever and is admitted to the hospital. What is the likely diagnosis:: (A) Systemic Lupus Erythematosis, (B) Chloasma, (C) Steven Johnsons syndrome, (D) Lyme disease
Answer is A. Symptoms of Systemic Lupus Erythematosis (SLE) include butterfly shaped malar rash which is sensitive to sunlight, painful joints, low-grade fever, fatigue, mouth ulcers, anorexia, weight loss, lymphadenopathy, enlarged spleen and alopecia. SLE affects females more than males to a ratio 8:1. It commonly affects the non-white women of the child bearing age. Pregnancy could precipitate symptoms for the first time. Ref: Neuroimmune Pharmacology, By Howard E. Gendelman, Tsuneya Ikezu, 2008, Page 288