PSEUDO TUMOR CEREBRI AS THE MAJOR MANIFESTATION OF SYSTEMIC LUPUS ER Y THEMATOSUS IN A CASE OF FEVER OF UNDE TERMINED ORIGIN

Systemic lupus erythematosus (SLE) is less likely to present as fever of undetermined origin today. This is due to the widespread use of immunologic tests which permit early diagnosis. It is not surprising therefore that only atypical cases of SLE present as FUa. Although uncommon, pseudotumor cerebri has been recognized as either a presenting manifestation or a complication of SLE. This case was a 15 year old girl who presented with pseudotumor cerebri and prolonged fever as the major manifestations of SLE. Absence of musculoskeletal symptoms and a low sedimentation rate were the major misleading points that deferred the diagnosis. This case report not only describes a rare manifestation of SLE but also emphasizes the previously known fact that "FUO is an uncommon presentation of this common disease."