SLE presenting as epistaxis.

Epistaxis as a presenting complaint in systemic lupus erythematosus is very rare. An 11-yr-old girl presented with an episode of profuse epistaxis, self limiting, and was seen to be anemic with deranged coagulation profile. Subsequent work up showed the child to have thrombocytopenia, and she had blood and platelet transfusion. However, the epistaxis of the thrombocytopenia persisted, despite the corrective measures. Investigations for the cause of thrombocytopenia, lead to the discovery of laboratory features, suggestive of systemic lupus erythematosus.