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BMJ CASE REPORT TEMPLET

  TITLE OF CASE TIPS: ●         Please use a clinical and straight forward title that accurately reflects the diagnosis and main point of the case report ●         Do not include “a case report”, “review”, “literature review”, “rare case”, “first case” in the title ●         Do not use cryptic, humorous or play-on-word titles ●         There should be no exclamation mark in the title ●         Do not put the patient’s age, sex or ethnicity in the title SUMMARY TIPS: ●         This is a summary of the entire manuscript and is freely available online ●         It is the equivalent of an abstract ●         Use a maximum of 150 words summarising the case presentation and outcome ●         Describe the essential information of the case and emphasise the learning points ●         The SUMMARY is distinct from the BACKGROUND section below - do not copy and paste ●        
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project cardiovascular involvement in autoimmune diseases.

  TITLE OF CASE Navigating Libman-Sacks Endocarditis: A Complex Journey from Systemic Lupus Erythematosus to Cushing’s Syndrome SUMMARY Autoimmune diseases  involve multiple organ systems leading to chronic inflammation, there by results in multiple organ dysfunction syndrome. some autoimmune disorders are associated with an increased risk of cardiovascular diseases. We present a remarkable case of a girl in her mid teens who initially manifested with a constellation of complications related to systemic lupus erythematosus (SLE). Her clinical presentation included endocarditis, glomerulonephritis, central nervous system (CNS) vasculitis, and a cardioembolic phenomenon. The intricate interplay between these diverse manifestations underscores the complexity of SLE and highlights the importance of early recognition and multidisciplinary management. we also present the diagnostic and therapeutic challenges faced and role of subsequent follow up through our paJR (patient journey record ) in
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