2025-11-272025-11-27http://hdl.handle.net/2263/106022Clinical history : A 22 year old white female patient with history of epilepsy was admitted to hospital in an acute ill state. Anaemia, high fever and signs of heart failure developed. A positive L.E. cell phenomenon was demonstrated and the clinical diagnosis of systemic lupus erythematosus.Autopsy findings : 1. Systemic lupus erythematosus.2. Myocardial fibrosis.3. Infarction in brain and spleen.4. Multiple small fibrin thrombi in vessels of myocardia, brain, spleen and kidneys.Diagnosis: 1. Systemic lupus erythematosus.2. Lupus nephritis.3. Libman-Sachs endocarditis.4. Multiple fibrin thrombi in small vessels