BTG3 and systemic lupus erythematosus: Most reported cases of ALHS have had positive and mostly high titers of ANA on presentation, but our patient interestingly presented with a negative ANA test and did not satisfy the diagnostic criteria for SLE according to the 1982 ACR criteria or its 1997 update, although she did fulfill the criteria for SLE when the 2012 SLICC revised ACR SLE classification criteria were considered.