Upper gastrointestinal hemorrhage as a manifestation of systemic lupus erythematosus: a case report

Although systemic lupus erythematosus typically involves multiple organ systems, atypical features-such as upper gastrointestinal bleeding and recurrent pneumonia-can obscure the diagnosis and delay the initiation of appropriate treatment. In this case, despite the late start of therapy, the patient achieved full recovery. This case highlights the importance of recognizing rare manifestations of relatively common diseases and evaluating for coexisting conditions, such as subclinical hypothyroidism, which would influence disease activity, treatment response, and overall prognosis.