Prior Episodes Of Malar in Pediatrics — 11yo Child | Pediatric Rheumatology | SMLE Q#12397
SMLE Question #12397
Pediatrics
Pediatric Rheumatology
Objective: OBJ-1767
Last updated: February 2026
An 11-year-old girl has 1 month of fatigue and intermittent knee and hand arthralgias with prior episodes of malar rash and marked photosensitivity. She is brought with acute headache, confusion, and a generalized tonic–clonic seizure. After airway protection and seizure control, she is started on IV methylprednisolone for suspected neuropsychiatric lupus. Brain MRI shows no mass lesion or intracranial hemorrhage. The team plans induction immunosuppression for central nervous system involvement. Which medication should be added to her regimen?
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