Rare Presentation of SLE-Convulsion without Stroke before the Appearance of Malar Rash: A Case Study

We report a case of Systemic Lupus Erythematosus presenting with generalized tonic clonic convulsion without stroke before the appearance of malar rash which is indeed a very rare presentation. She recovered very well with DMARDs, anti epileptics, antibiotics, corticosteroids, immunosuppresants and Platelet transfusions. Systemic lupus erythematosus (SLE) is a heterogeneous, inflammatory, multisystem autoimmune disease in which antinuclear antibodies appear in serum often years before clinical symptoms. Lupus erythematosus describes the typical rash of SLE and the term systemic emphasises the potential for multi-organ involvement. Diagnosing this disease early& providing appropriate treatment is important to achieve an optimal clinical outcome.