Case Presentation: A 32-year-old woman with history of lupus not on steroid or immunosuppressive therapy for more than 10 years presented with headache, generalized weakness, abdominal pain, nausea, vomiting, and malaise. On exam, the patient was afebrile with tachycardia and hypotension. She was ill-appearing with a diffusely tender abdomen, mild hepatomegaly, and enlarged axillary and [...]