22 yr old secretary returned from holiday feeling unwell, with widespread aches and pains.
excess hair loss and some spots on arms.
on examination: temperature of 37.5 degree Celcius, inflamed finger flexor tendon, small reddish lesions on both elbows and small patch of alopecia.
low WBC (with neutrophils 70% and lymphocytes 5%)
ESR very high
Diagnosis: I was thinking SLE, anyone agree? PLEASE HELP got a test soon!
thanks to all!