A 17-year-old female with systemic lupus
A 17-year-old female was admitted with a month long history of involuntary movement bilaterally in hand and legs. The patient stated that the movement started one month ago. And she had occasionally involuntary movement of her mouth. The symptoms were mild in the beginning and gradually increased. The patient had dyskinesia around her mouth and thoracic and occasionally choreathetoid movement in bilateral upper extremity. She said she had similar movement in the lower extremity. The patient would not stand still and had difficulty while working.
She had consulted a rheumatologist about pain, swelling, redness in the joints, redness on the face and sensitivity to such sun light one and a half