Case 2: 48-year-old woman
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- A 48-year-old woman with an 18-year history of SLE is presenting for a regular appointment
- Mother of 2 teenage children, works full time as a dental assistant
- Functional history: patient describes worsening of her lupus symptoms
- Pain in fingers, especially in the winter, causing some functional disability
- Hip pain causing difficulty walking
- Treatment history
- Heavy steroid use before switching to methotrexate and belimumab 12 years ago
- 18-year history of hydroxychloroquine with no ocular adverse events
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