Systemic lupus erythematosus: an unusual presentation of stroke - a case report from Azal hospital, Sana'a, Yemen

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Adnan Al-Adhal
Yahya El-Izzi
Ahmed Qayed
Abdullah Al-Adhal

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder characterized by various clinical manifestations and potential multi-organ involvement. It predominantly affects women, with peak incidence during middle age. Case report: This case report describes a 36-year-old female patient who presented with right-sided body weakness, fever, and headache but maintained normal speech. The patient, with a known history of SLE, was diagnosed with an ischemic stroke. Following appropriate fluid resuscitation and medical management, the patient improved. Notably, the patient had a previous ischemic stroke four years ago while on warfarin but without antiplatelet therapy. Conclusion: Our findings suggest that stroke may be an initial presentation of SLE and that warfarin alone may not adequately protect against stroke in this patient population.

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How to Cite
Al-Adhal, A., El-Izzi , Y., Qayed , A., & Al-Adhal , A. (2024). Systemic lupus erythematosus: an unusual presentation of stroke - a case report from Azal hospital, Sana’a, Yemen. Sana’a University Journal of Medicine and Health Sciences, 18(3), 38–41. https://doi.org/10.59628/jchm.v18i3.1207
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