<prompt> All of the following are features of SLE except?Sterile vegetations on valve cuspsRaynauds phenomenonAtherosclerosisIdiopathic pulmonary nodules  <response>: Shrinking lung syndrome is a feature of SLE but it is characterized by diaphragmatic myopathy leading to appearance of small lungs radiologically. Pulmonary fibrosis due to interstitial inflammation is seen in SLE. Premature atherosclerosis is a recognized feature of secondary anti-phospholipid syndrome. The vegetations in Libman sacks endocarditis are sterile and seen on inferior surface of valve cups N.S.I.P is common in connective tissue disorders . But remember that U.I.P is more commonly seen in Rheumatoid ahritis than N.S.I.P Clinical manifestations of SLE at onset and during disease. Signs and Symptoms Prevalence at Onset Prevalence at any Time Ahralgia 77 85 Rashes 53 78 Constitutional 53 77 Kidney involvement 38 74 Ahritis 44 63 Raynaud phenomenon 33 60 CNS involvement most commonly headache 24 54 GI most commonly abdominal pain 18 45 Lymphadenopathy 16 32 Pleurisy 16 30 Pericarditis 13 