Case 48-1986: A 20-Year-Old Cambodian Immigrant with Systemic Lupus Erythematosus and Respiratory Distress

Presentation of Case A 20-year-old woman was admitted to the hospital because of systemic lupus erythematosus and respiratory distress. The patient was a native of Cambodia and had resided temporarily in Thailand. There was a history of hepatitis at the age of 12 years. Seven years before admission she had had repeated bouts of fever that were believed to be secondary to malaria. Four years before entry she immigrated to this country, where a tuberculin skin test was found to be positive. An x-ray study of the chest was reported to be negative for active pulmonary disease, and isoniazid was . . .