A 28-year-old female presented with generalized edema in the abdomen, abdominal distension, cough, frothy urine, and dyspnea for three weeks. There was no presence for oral ulcers and arthritis. She reportedly had gained 12 kg weight in three weeks. ##History:## The patient was diagnosed with Systenmc Lupus Erythematosus five years ago.
Initial therapy— 25 mg of prednisone, which was gradually reduced to 15 mg, along with hydroxychloroquine Family history — negative for SLE Surgical history — A C-section delivery eight years ago, appendectomy six years ago. Oral prednisone therapy had been discontinued due to noncompliance. Hydroxychloroquine treatment had been discontinued last year due to acid reflux. Had not followed up regularly ## ##Physical examination:## Vitals — Temperature: 36.5 degrees; RR: 19 bpm; BP: 153/82 mm Hg Weight — 77 kg No rash or lymphadenopathy Cardiopulmonary…
