Rhupus Syndrome: An Overlap with Renal Complications

Rhupus Syndrome: An Overlap with Renal Complications

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Rhupus syndrome is a rare condition of overlap of Rheumatoid Arthritis (RA) and Systemic Lupus Erythematosus (SLE) presenting with erosive polyarthritis and 2004 honda civic exhaust system symptoms of SLE.It occasionally has renal involvement as its complication makes the diagnosis more difficult.Here the authors present a case of a 13-year-old female with severe arthritis, which gradually progressed into lupus nephritis with the presence of specific autoantibodies confirming the diagnosis of Rhupus.The child was managed with disease modifying anti-rheumatic drug (hydroxychloroquine), immunosuppressants (mycophenolate mofetil), steroid (prednisolone) and calcium channel blocker (amlodipine).Accurate diagnosis is the key for early detection since Rhupus is a very rare disorder good luck bear shirt with very limited reported cases.