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Case Studies | Health and Medical Sciences | India | Volume 13 Issue 1, January 2024 | Rating: 4.7 / 10
Bilateral Parotitis in a Young Male Patient: An Unusual Initial Manifestation of Systemic Lupus Erythematosus
Dr. Akif Ahamad Baig [2] | Dr. M. A. Sameena Farheen [2]
Abstract: This study presents a unique case of Systemic Lupus Erythematosus SLE manifesting primarily as bilateral parotid swelling in a 22-year-old male with no medical comorbidities. SLE, a multi-systemic autoimmune disease, typically presents with musculoskeletal and cutaneous symptoms, but can occasionally show atypical features such as parotitis. The patient, initially investigated for bilateral parotitis and severe anemia, was found to have positive anti-Smith and anti-ribosomal antibodies, ruling out other causes such as Sjogrens syndrome, lymphoma, sarcoidosis, and HIV. Despite autoimmune diseases being more prevalent in females, this case highlights the necessity of considering SLE in differential diagnoses for male patients presenting with unusual symptoms like parotitis, especially when accompanied by systemic features like anemia and lymphadenopathy. The patient responded well to intravenous steroids and maintenance immunosuppressants, showcasing the importance of timely diagnosis and treatment in atypical presentations of SLE.
Keywords: Systemic Lupus Erythematosus, Bilateral Parotitis, Autoimmune Disease, Atypical Presentation, Anti-Smith Antibody
Edition: Volume 13 Issue 1, January 2024,
Pages: 1628 - 1630