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Rheumatology 2001; 40: 349-350
© 2001 British Society for Rheumatology

Letters to the Editor

Pyrexia and normal C-reactive protein (CRP) in patients with systemic lupus erythematosus: always consider the possibility of infection in febrile patients with systemic lupus erythematosus regardless of CRP levels

S. Roy and K. T. Tan

Leicester Royal Infirmary NHS Trust, Leicester, UK

The first 10% of the full text of this article appears below.

SIR, Patients with active systemic lupus erythematosus (SLE) often have normal C-reactive protein (CRP) levels. However, bacterial infections can elicit CRP production in these patients [1, 2]. It has therefore been proposed that measuring the CRP levels in pyrexial patients with SLE can help to differentiate between active disease and infection [1, 2]. We describe two patients with SLE with systemic bacterial infection who presented with normal CRP levels.

The first patient was . . . [Full Text of this Article]


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