A case report of old age systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that predominantly affects young women. Old age lupus occurs after the age 50 years and the disease occurs in 10-20% of patients over 50 years. This case was a 78-year-old woman who admitted to our hospital with polyarthritis, dyspnea, chest pain, typic malar rash, thrombocytopenia, lymphopenia:, positive antinuclear antibody (ANA):,and high titer anti-dsDNA from 3 weeks before admission. However older patients are more likely to have an insidious presentation and anti-ds DNA was very high and the other hand malar rash, polyarthritis and thrombocytopenia was reported very rare in old age in literatures bur our patients had acute presentation and her disease pattern similar pattern of disease in young patients.