We describe a 15-year-old girl with systemic lupus erythematosus (SLE)
who presented with hypocalcemia and a generalized seizure in the sett
ing of an intercurrent illness and active central nervous system lupus
. She was subsequently found to have idiopathic hypoparathyroidism. Th
e association of SLE with hypoparathyroidism is extremely rare and thi
s case represents the first pediatric report of this rare association.
We suggest there may be a common underlying pathophysiological proces
s linking these diseases.