Abstract:
Systemic lupus erythematosus(SLE) is a chronic,
multisystemic autoimmune disorder typically affecting
middle-aged individuals predominantly in women.
Late-onset SLE occurs in individuals over 50, differs
from classic SLE in terms of age, symptoms, organ
involvement and severity. This case describes an elderly
South-Asian woman who was under evaluation for
skin rashes with impaired renal function, diagnosed to
have discoid lupus with lupus nephritis(LN). She was
treated with glucocorticoids and mycophenolate mofetil
effectively, with improved renal function, thus delaying
the need for dialysis. This case emphasizes timely
diagnosis and treatment can significantly improve the
outcome in late onset SLE with lupus nephritis(LN).