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Ruptured hemorrhagic corpus luteum as a presenting symptom of systemic lupus erythematous

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Abstract

A young female presented to the emergency room with ruptured hemorrhagic corpus luteum (RHCL). Her workup revealed a new diagnosis of SLE with nephritis and positive lupus anticoagulant (LAC) test without thrombocytopenia. We reviewed the literature and found one similar case of a 23-year-old subject who presented with a RHCL that was found to be the presenting symptom of SLE; unlike the current case, the patient presented with severe anemia (Hg 6.7 g/dl) and thrombocytopenia (10,000/ml). Possible mechanisms are discussed.

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Authors and Affiliations

  1. Department of Internal Medicine, Shaare Zedek Medical Center, P.O. Box 3235, Jerusalem, Israel

    Itamar Feldman, Bnaya Alon, Gideon Nesher, Talia Wolak & Gabriel S. Breuer

  2. Rheumatology Unit, Shaare Zedek Medical Center, P.O. Box 3235, Jerusalem, Israel

    Itamar Feldman, Gideon Nesher & Gabriel S. Breuer

  3. Nephrology Unit, Shaare Zedek Medical Center, P.O. Box 3235, Jerusalem, Israel

    Bnaya Alon

  4. Hadassah Hebrew University School of Medicine, 9112001, Jerusalem, Israel

    Gideon Nesher, Talia Wolak & Gabriel S. Breuer

Authors
  1. Itamar Feldman
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  2. Bnaya Alon
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  3. Gideon Nesher
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  4. Talia Wolak
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  5. Gabriel S. Breuer
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Correspondence to Gabriel S. Breuer.

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Feldman, I., Alon, B., Nesher, G. et al. Ruptured hemorrhagic corpus luteum as a presenting symptom of systemic lupus erythematous. Clin Rheumatol 39, 3127–3129 (2020). https://doi.org/10.1007/s10067-020-05197-y

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  • DOI: https://doi.org/10.1007/s10067-020-05197-y

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