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Mortality in SLE has a bimodal top with early deaths mainly associated with disease activity and infection. Although death features paid off over many years, it is still 2 to 3 folds when compared to general population. In India due to increased burden of illness and restricted access to healthcare, the complexities is different. Retrospective, report about files of all adult SLE patients fulfilling ACR 1997 requirements, whom passed away in hospital between