Abstract:A 23-year-old woman with systemic lupus erythematous, lupus nephritis (class IV), hypertension with retinopathy, chronic anemia, and end-stage renal disease on peritoneal dialysis since October 2013 presented to the emergency department in January 2014 with abdominal pain, nausea, vomiting, and diarrhea for one week. She admitted that during a re-
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