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© 1992 British Society for Rheumatology

case-report

TREPONEMAL INFECTION COEXISTING WITH SYSTEMIC LUPUS ERYTHEMATOSUS

V. B. DHILLON*, D. M. KEELING*,{dagger}, G. L. RIDGWAY{ddagger}, M. L. SNAITH* and D. A. ISENBERG*

*Bloomsbury Rheumatology Unit London W1P 9PG
{dagger}Department of Haematology, Middlesex Hospital London W1
{ddagger}Department of Clinical Microbiology, University College and Middlesex Hospitals London WC1E 6AU

Correspondence to: Correspondence to Dr V. Dhillon, Bloomsbury Rheumatology Unit, Arthur Stanley House, Tottenham Street, London W1P 9PG.

A patient with systemic lupus erythematosus (SLE)/erosive arthritis overlap is described who was also shown to have late latent treponemal infection. The possibility of serological reactivation is discussed. Since antiphospholipid antibodies are the basis of the reagin tests for syphilis as well as being present in patients with SLE, difficulties with diagnosis may ensue.

KEY WORDS: SLE, Treponemal infection, Antiphospholipid antibodies, Diagnosis


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