Hard to see: Systemic lupus erythematous presenting as cranial nerve six palsy: A Case Report

Systemic Lupus Erythematous (SLE) is an autoimmune disease that can affect multiple organs and have a wide variety of symptomatic presentations. One rare presenting symptom oculomotor nerve dysfunction, the following case report 41-year-old female with past medical history hypertension asthma, who was admitted for ocular dysfunction. On physical examination, patient had palsy, but rest neurological exam unremarkable. Imaging modalities such as computed tomography (CT) scan head without contrast, brain magnetic resonance imaging, angiography (CTA) neck revealed no acute pathology. After etiology excluded diagnosis pursued. Lab results were positive Anti-Smith, ANA, Anti-DsDNA. The also at this time diagnosed kidney injury biopsy done later focal lupus nephritis. starting immunosuppressive therapy, her symptoms improved.