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A sexually active young woman with systemic lupus erythematosus (SLE) complicated by lupus nephritis was hospitalized for a lupus flare after discontinuing treatment with her medications. The patient had been diagnosed in her teens and received induction therapy with cyclophosphamide followed by maintenance therapy with mycophenolate mofetil. Despite being sexually active, she reported no contraceptive counseling at the time of diagnosis or prior to initiation of treatment with potentially teratogenic medications.
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Corresponding Author: Ann Cameron Barr, BA, c/o Division of General Medicine and Geriatrics, Department of Medicine, Emory University School of Medicine, 49 Jesse Hill Dr SE, Atlanta, GA 30329 (firstname.lastname@example.org).
Published Online: January 28, 2019. doi:10.1001/jamainternmed.2018.7990
Conflict of Interest Disclosures: None reported.
Additional Information: Ms Barr performed the literature search, wrote the initial draft, and incorporated suggested edits from Drs Badell and Vettese. She was a fourth-year medical student at the time the manuscript for this article was prepared.
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