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Since how long she has SLE ?
What are her current medications ?
Has she developed any complication of lupus like kidney or brain involvement ?
Has she visited any neurologist or an MRI brain done as well ?
Considering her symptoms she should be seen by a neurologist again. In her current situation a possibility of Neuropsychiatric lupus should be considered as well. An MRI should be done as well to find out any lupus related problem
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