Case Presentation A 35-year-old woman presents with progressive facial redness after sun exposure, accompanied by oral ulcers and fatigue over the past few weeks. She reports joint pains in her hands and mild hair thinning.
There is no history of fever, infection, or recent medication changes. Clinical Findings Malar rash: Erythematous, butterfly-shaped, sparing the nasolabial folds Oral ulcers: Painless, small lesions on the buccal mucosa Mild synovitis in metacarpophalangeal joints No lymphadenopathy or organomegaly Investigations Antinuclear antibody (ANA): Positive Complete blood count: Mild anemia Renal function tests: Normal Urinalysis: No proteinuria Additional work-up pending for anti-dsDNA and complement levels Management Education: Sun protection and avoidance of triggers Topical therapy: Mild corticosteroid cream for cutaneous lesions Systemic therapy: Hydroxychloroquine 200…
