Case 1: 25-year-old African American woman

• A 25-year-old African American woman presented to the clinic 2 weeks ago with shortness of breath, chest pain, and lower extremity edema
• On examination, she had evidence of alopecia, mild bilateral knee arthralgia and swelling, and malar rash
• In the ED, her blood pressure was 150/90 mmHg
• Blood work significant for: Positive for anti-ANA, anti-dsDNA, anti-Smith, C3 and C4 below normal range
• Urinalysis significant for elevated protein and RBCs with casts