MCQ: Oral Ulcers, Arthritis, Pleural Effusion Diagnosis?Watch this thread
A 33 year old female has come in with an sore joints in her hands and wrists, they are painful particularly in the morning and get better throughout the day. She also complains of a painful red eye and oral ulcers. 2 weeks previously a chest x ray showed pleural effusion
Systemic Lupus Erythematous
I think its either lupus or Behchet's. Lupus would be quite consistant with the small joint arthritis affecting the hands, and the pleural effusion (which can aslo happen in Behchet's, but is more common in SLE), and oral ulcers, although when I searched online, the anterior uveitis is more consistant with Behchet's disease.
Equally it could also be Behchet's which is more consistant with the oral ulcers and red eye, although joints affected are usually larger joints like knee and elbows, but Behchet's could also cause pleural effusions albeit its less common
Thank you guys
I think it's lupus btw.
Fits with the Dopamine Rash mnemonic
If in doubt, it's lupus.