Systemic lupus erythematosus in a male teenager manifested with cardiogenic shock and extremities infarction.

Systemic lupus erythematosus (SLE) is an autoimmune disease with multisystemic features and a variety of clinical characteristics. Typical clinical manifestations of SLE include alopecia, oral ulcers, cutaneous lesions, arthritis, renal injury, and cardiac damage.[1] Cardiac involvement is one of the common complications of SLE, which is mostly asymptomatic with only approximately 10％ of cardiac injury patients experiencing symptoms such as shortness of breath and arrhythmia. However, cardiogenic shock is rare, especially as the initial manifestation of SLE.[2] Herein, we report a case of a 15-year-old male who presented with cardiogenic shock and was eventually diagnosed with SLE.