A 30-year-old female walked into an OPD with a complaint that “sounded almost too small”: ‘Doctor… this pimple on my face isn’t going away.’ While 99 per cent of the time, a pimple is just a pimple, Dr Satyam Badapanda, a chiropractor, said this one “looked different”. “It was red, painful, swollen, and she said it kept coming back in the same spot. She also mentioned feeling tired, joint pain, and slight hair fall. That made us pause.”

He continued in a post on Instagram, “Ran a few basic tests — CBC, ESR, CRP, ANA. Her results came back… and they hit us hard. ANA strongly positive. ESR very high. This was not acne. What she thought was ‘just a stubborn pimple’ was actually the first warning sign of an autoimmune disease — Systemic Lupus Erythematosus (SLE).”

The pimple-like lesion on h

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