Diagnostic Challenge of Lupus with Overlap Syndrome in an Adolescent: A Case Report

Authors

  • Anu Suria Ganason Department of Primary Healthcare, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia. https://orcid.org/0000-0003-1057-7332
  • Mohd Radzniwan A. Rashid Department of Primary Healthcare, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia. https://orcid.org/0000-0002-6981-9431
  • Fathima Begum Syed Mohideen Department of Primary Healthcare, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia. https://orcid.org/0000-0002-2774-681X
  • Sharifah Najwa Syed Mohamad Department of Primary Healthcare, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
  • Nurul Hayati Chamhuri Department of Primary Healthcare, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia. https://orcid.org/0000-0003-1608-7158

DOI:

https://doi.org/10.33102/mjosht.v10i2.407

Keywords:

autoimmune disease, eczema, lupus erythematosus, case report

Abstract

Lupus with overlap syndrome is an uncommon autoimmune disease that typically affects teenage females. It can present as various symptoms affecting multiple organs. Delay in the diagnosis of lupus will lead to deleterious effects on the implicated adolescents’ health. The case report aims to describe the diagnostic challenge of a refractory skin disease leading to a delay in diagnosis and highlight its psychosocial impact. Here, we describe a case of a teenager who presented with poorly controlled chronic dermatitis. The chronic dermatitis was refractory to the first-line therapy of topical steroids and emollients. She was finally diagnosed with lupus and overlap syndrome, confirmed by a skin biopsy. In conclusion, any chronic refractory skin diseases warrant further referral and investigation at the tertiary centre. Assessment of psychosocial in managing chronic skin disease in adolescent is essential as it could implicate their mental health further.

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References

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Published

2024-10-08

How to Cite

Anu Suria Ganason, Mohd Radzniwan A. Rashid, Fathima Begum Syed Mohideen, Syed Mohamad, S. N., & Nurul Hayati Chamhuri. (2024). Diagnostic Challenge of Lupus with Overlap Syndrome in an Adolescent: A Case Report . Malaysian Journal of Science Health & Technology, 10(2), 147–151. https://doi.org/10.33102/mjosht.v10i2.407

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Section

Medical

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