Bilateral Vocal Cords Palsy in Adolescent Systemic Lupus Erythematosus Patient

A 17-year-old girl with systemic lupus erythematosus (SLE) presented with a seizure and subsequent loss of voice, alongside symptoms like severe hair loss, fever, and various hematological abnormalities. MRI showed brain atrophy, and echocardiography revealed mild carditis and pericardial effusion. Immunological tests confirmed SLE. Fiberoptic laryngoscopy identified bilateral vocal cord palsy due to SLE. Treatment with high-dose methylprednisolone, cyclophosphamide, and speech therapy led to gradual improvement in her speech. Continuous monitoring is necessary for complete resolution of the vocal cord palsy.