Key clinical message
This case report presents a preadolescent female with a rare
presentation of lupus as isolated chorea. An investigation to find out
the cause of unexplained cytopenia with raised inflammatory markers
ultimately led to the diagnosis of neuropsychiatric lupus with
antiphospholipid antibodies. Lupus should always be included in the
differential for chorea in children.
Keywords: lupus, chorea, paediatrics, neuropsychiatric lupus.