INCOMPLETE LUPUS-ERYTHEMATOSUS IN A PATIE NT ON HEMODIALYSIS

We describe of a 55-year-old man with end stage renal disease secondar y to renal ectopia and fusion (horseshoe kidney) and obstructive uropa thy. After a year on maintenance hemodialysis, he developed acute hemo lytic episodes, thrombocytopenia and positive antinuclear antibodies. After the differential diagnosis had been explored, we concluded that he had incomplete systemic lupus erythematosus. We emphasize the low f requency of systemic lupus erythematosus in the chronic dialysis popul ation, and the difficulty of making this diagnosis in there circunstan ces.