In today at the pediatrics ward we on round had a beautiful oportunity to see the patient of SLE which is rare for me to see as i don't have that much of exposure to the variety of cases In the OPD patient comes with the chief complaint 1) swelling at the ankles joint 2) unable to walk 3)leg swelling 4) low grad fever on & off Befor six month she has hyperpigmentation of skin & hair loss On investigation we found that the patient has SLE with serositis(pleural effusion), arthritis,Renal involvement & with the pulmonary koch Patients has active TB infection due to the low immunity That its !! Thank you
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