Laryngeal involvement in lupus erythematosus is very rare and exceptionally revealing. The clinical manifestations could be quite varied. Vocal cord palsy (VCP) is a rare CNS involvement in the clinical course of SLE. We report a 51-year-old female who was admitted for acute onset inability to speak for 3 days and nasal regurgitation. Her ANA by IF showed a 3+ homogenous pattern. Anti – ds DNA, anti – SS A and SS B and anti-Ro 52 antibodies were also positive. Video Laryngoscopy (VDL) showed paralysis of the left vocal cord. The patient was treated with systemic corticosteroid with complete recovery with no residual vocal cord palsy.